Remote Senior Medical Coding Auditor & Compliance Lead

Connext; Philippines; On-site; PHP 700,000 - 1,100,000; Full time

Job summary

Connext in the Philippines is seeking a Senior Medical Coding Specialist to lead audits of coding accuracy and documentation quality across multiple specialties.

You will review ICD-10-CM, CPT, HCPCS, and modifiers, identify coding gaps, and prepare QA reports while providing feedback to clinicians and coding teams.

This remote role requires five years of experience, CPC/CCS certification, and strong English communication to ensure compliance with payer and regulatory standards.

Qualifications

• Active medical coding certification CPC or CCS.
• Minimum five years of medical coding experience.
• Experience across multiple specialties (Urgent Care, Podiatry, Wound Care, Primary Care, etc.).
• Experience using AthenaOne or similar EMR systems.
• Strong English written and verbal communication.

Responsibilities

• Perform quality assurance audits of coded encounters across multiple specialties.
• Review provider documentation to validate ICD-10-CM, CPT, HCPCS codes and modifiers.
• Identify under-coding, over-coding, unbundling, and missed charges.
• Evaluate documentation for medical necessity, specificity, and compliance.
• Prepare and distribute coding QA reports with findings and trends.
• Provide feedback and education to improve coding accuracy.
• Maintain CMS/AMA/AHIMA/HIPAA payer guidelines compliance.
• Support coding workflows and revenue cycle improvements using AthenaOne.

Skills

Medical coding

Quality assurance

Documentation review

Analytical skills

Remote work independence

English communication

Education

CPC (AAPC) or CCS (AHIMA) certification

Tools

AthenaOne (athenahealth) EMR

Job description

Connext in the Philippines is seeking a Senior Medical Coding Specialist to lead audits of coding accuracy and documentation quality across multiple specialties.

You will review ICD-10-CM, CPT, HCPCS, and modifiers, identify coding gaps, and prepare QA reports while providing feedback to clinicians and coding teams.

This remote role requires five years of experience, CPC/CCS certification, and strong English communication to ensure compliance with payer and regulatory standards.