Nov 01, 2026

Coding Auditor Senior

Job Description

Coding Auditor SeniorCoding Auditor SeniorLocation: Any PulsePoint office. St. Louis, MO preferred.Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.How you will make an impact:Audits diagnosis data retrieved from physician and hospital medical records and/or data extract files for both revenue project and RADV.Assists with National and Targeted Risk Adjustment Data Validation audits.Participates and represents the department in business leadership groups.Serves as a subject matter expert. Assesses and identifies training opportunities.Maintains current knowledge of requirements and guidance required in the performance of audit duties.Minimum Requirements:Requires a H.S. diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any combination of education and experience, which would provide an equivalent background.Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required.Preferred Skills, Capabilities and Experiences:BS in health sciences, health management or related field preferred.Experience working with Medicare Advantage preferred.Experience with ICD-9 coding a plus. HCC coding preferred.Strong communication skills preferred.Job Level: Non-Management Non-ExemptWorkshift: 1st Shift (United States of America)Job Family: MED > Licensed/Certified - Other