Medical Auditor - Remote

Sprinter Health; Menlo Park (CA); À distance; USD 38 000 - 53 000; Plein temps

Avantages offerts par ce poste

Premium health benefits for families

Dental & vision coverage

Parental leave

401(k) with company match

Flexible PTO

Résumé du poste

Sprinter Health is seeking a Medical Coding Auditor to perform routine and focused audits of medical coding to ensure CMS, payer, and organizational standards are met. The role focuses on education for coders and providers to improve documentation and coding accuracy, in a fully remote setting.

The ideal candidate has 3+ years of coding experience with audit exposure, strong knowledge of CPT/ICD-10-CM/HCPCS, and the ability to work independently to support audit prep and reporting.

Qualifications

• Active AAPC CPC or AHIMA CCS certification required.
• 3+ years of medical coding experience, including 1–2 years in coding audits, QA, or compliance.
• Strong understanding of HCC/risk adjustment coding principles and CDI practices.
• Proficiency with CPT, ICD-10-CM, HCPCS, and modifiers.

Responsabilités

• Audit medical coding to ensure CMS, payer, and organizational standards.
• Develop and deliver education to coders and providers to improve documentation and coding accuracy.
• Assist with internal and external audit preparation and responses, including documentation requests.
• Maintain audit tracking logs, productivity reports, and accuracy metrics.

Connaissances

Communication

Problem solving

Attention to detail

Remote work capability

Formation

Active AAPC CPC certification

AHIMA CCS-P/CCS certification

Outils

EHR systems

Encoder software

Google tools

Description du poste

Medical Coding Auditor

At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can't get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year.By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway.As a Medical Coding Auditor, you will be responsible for conducting routine and focused audits of medical coding to ensure compliance, accuracy, and quality. You'll play a critical role in providing education and feedback to coders and providers to improve documentation and coding accuracy. This is a full-time temporary role through January 31, 2027 and is 100% remote.

What You Will Do

• Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
• Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
• Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
• Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
• Review medical records, claims data, and provider documentation to assess the accuracy of ICD-10-CM, CPT, HCPCS, and modifier assignment.
• Identify coding errors, trends, and opportunities for improvement; prepare detailed audit reports with actionable findings.
• Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
• Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
• Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
• Stay current with AAPC, AHIMA, CMS, and OIG guidelines, as well as payer policy changes and HCC model updates.
• Uphold all HIPAA, privacy, and compliance standards in handling patient data and audit documentation.

You’ll Love this Job If…You have an eye for detail and take pride in upholding the highest standards of coding accuracy and compliance.You're motivated by the impact your work has on data integrity, provider education, and overall care quality.You enjoy analyzing trends, identifying opportunities for improvement, and helping others strengthen their documentation and coding practices.You thrive in a tech-forward, mission-driven environment where innovation and accountability go hand in hand.You're comfortable working independently in a remote setting, yet you value being part of a collaborative, growth-oriented team.You love the idea of transforming complex audit findings into meaningful insights that drive better outcomes and operational excellence.Most of all, you're energized by the chance to make a real difference—ensuring that accurate, ethical coding supports Sprinter Health's mission to deliver care where patients need it most.

What We're Looking For

• Certification: Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.
• Experience: Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance capacity.
• Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.
• Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.
• Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.
• Ability to work independently and maintain productivity in a remote setting.
• Strong communication and problem-solving skills.
• Proficient in EHR systems, encoder/coding software, and Google tools.
• Reliable internet connection and dedicated, secure workspace.

Technologies We Use

• EMR: Elation
• Google Suite (docs, slides, sheets)

Benefits

• Benefits
• $33 base salary
• 100% paid health, dental, vision premiums (for families too)
• Generous parental leave (4 months for birthing parent, 2 months for partners)
• 401(k) with company match
• Flexible PTO + flexible schedule
• Sprinter Health is an equal opportunity employer. We value diversity and do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or other protected characteristics.