Coding Compliance Auditor

3B Staffing LLC; Chicago (IL); Remote; USD 55,000 - 110,000; Full time

Job summary

3B Staffing LLC is seeking a remote Coding Compliance Auditor to support a Medical Center contract role. You will design chart reviews, test billing/documentation, and work closely with the CDI team to reconcile and improve coding compliance.

Required are coding credentials and 3–5 years of senior audit experience, with EPIC/Solventum Encoder/3M and SmarterDx familiarity. Strong communication and regulatory knowledge are essential.

Qualifications

• High School Diploma or GED required.
• Coding certification required (e.g., RHIA, RHIT, and/or CCS)
• Three to five years of senior-level coding audit experience, or five years of coding experience
• Experience with CDI reconciliation and collaboration with the CDI team
• Ability to interpret and analyze EMRs, ancillary reports, and payer guidelines
• Proficiency in Microsoft Office applications
• Excellent verbal and written communication with physicians and leadership
• Experience with EPIC, Solventum Encoder/3M; SmarterDx a plus
• Query experience is valuable for this role
• Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing, or related field preferred

Responsibilities

• Design and perform chart reviews, testing the appropriateness of billing and documentation.
• Prepare and present reports of findings with recommendations for corrective action as needed.
• Identify and prioritize risk issues, working as part of a team on projects.
• Monitor the Medical Center's compliance with governmental regulations through recurring compliance reviews.
• Research government billing regulations, third-party payer guidelines, prospective payment systems, and ICD-9-CM/CPT/HCPCS coding guidelines.
• Maintain a current understanding of regulatory issues through seminars, training courses, and regulatory literature.
• Assist with the development of the annual departmental work plan.
• Design and implement individualized documentation and coding improvement activities for physicians and administrators.
• Act as a resource and educator on documentation improvement projects.
• Serve as the internal liaison for the Medical Center on coding and compliance questions and concerns.
• Facilitate compliance initiatives through education, newsletters, and training sessions.
• Assist in the development, coordination, and maintenance of all elements of the Compliance Education Program.
• Assist in updates to Compliance manuals and websites.
• Other duties and projects as assigned

Skills

Coding audit experience

CDI reconciliation

Regulatory interpretation

Verbal and written communication

Team collaboration

Microsoft Office proficiency

Query experience

Education

Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing, or related field

High School Diploma or GED

Tools

EPIC

Solventum Encoder/3M

SmarterDx

Job description

Position Title: Coding Compliance Auditor

Primary Location: Remote

Position Type: Contract

OVERVIEW

Looking for a Coding Compliance Auditor to support the Medical Center in a fully remote capacity. This person will design and perform chart reviews, test the appropriateness of billing and documentation, and partner closely with the CDI team on reconciliation efforts. The role requires hands‑on experience with EPIC, Solventum Encoder/3M, and SmarterDx software, along with the judgment to identify risk, drive corrective action, and serve as a trusted resource on coding and compliance across the organization.

WHAT YOU BRING TO THE ROLE

• High School Diploma or GED required
• Coding certification required (e.g., RHIA, RHIT, and/or CCS)
• Three to five years of senior‑level coding audit experience, or five years of coding experience
• Experience with CDI reconciliation and comfort collaborating with the CDI team
• Ability to interpret and analyze electronic medical records, ancillary reports, and third‑party payer guidelines
• Proficiency in Microsoft Office applications
• Excellent verbal and written communication skills, including with physicians and hospital department leadership
• Experience with hospital billing systems, including EPIC and Solventum Encoder/3M; SmarterDx experience a plus
• Query experience is valuable for this role
• Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing, or a related field preferred

PERFORMANCE EXPECTATIONS

• Minimum of 8-10 SmarterDx accounts per day, depending on complexity
• 95%+ coding accuracy rate
• Quality documentation and feedback on findings

WHAT YOU'LL DO

• Design and perform chart reviews, testing the appropriateness of billing and documentation
• Prepare and present reports of findings with recommendations for corrective action as needed
• Identify and prioritize risk issues, working as part of a team on projects
• Monitor the Medical Center's compliance with governmental regulations through recurring compliance reviews
• Research government billing regulations, third‑party payer guidelines, prospective payment systems, and ICD‑9‑CM/CPT/HCPCS coding guidelines
• Maintain a current understanding of regulatory issues through seminars, training courses, and regulatory literature
• Assist with the development of the annual departmental work plan
• Design and implement individualized documentation and coding improvement activities for physicians and administrators
• Act as a resource and educator on documentation improvement projects
• Serve as the internal liaison for the Medical Center on coding and compliance questions and concerns
• Facilitate compliance initiatives through education, newsletters, and training sessions
• Assist in the development, coordination, and maintenance of all elements of the Compliance Education Program
• Assist in updates to Compliance manuals and websites

Other duties and projects as assigned