To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment.
Key responsibilities
Review medical records and clinical documentation to ensure compliance with coding standards and regulations
Conduct routine and focused coding audits to identify discrepancies and compliance risks
Communicate audit findings and provide education to providers and coding staff to enhance documentation practices
Required qualifications
5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding
Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG
Prior coding or auditing experience in a Medicaid environment
Bachelor's degree in healthcare management or related field preferred
CPC, CCS, and CPMA certifications required