Medical Coding Auditor & Compliance Reviewer

Jobtailor; Virginia (MN); On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor in the United States is seeking a Health Care Compliance Auditor specializing in medical coding and documentation compliance. You will review records, ensure CPT/E&M coding accuracy, and report findings to the Compliance Officer and executive leadership.

Qualifications include CPC/CCS-P/COC, 2+ years in health care, HIPAA knowledge, and Epic EMR familiarity. The role emphasizes auditing, policy development, training, and collaboration to strengthen internal controls.

Qualifications

• 2+ years of experience in health care.
• Medical coding certification required (CPC, CCS-P, COC), preferred.
• Advanced knowledge of medical terminology, techniques and CPT coding.
• Excellent understanding of HIPAA regulations.
• Knowledge of Epic EMR preferred.

Responsibilities

• Follows established protocols, selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for compliance with regulations.
• Communicates audit progress and findings to Compliance Officer and executive leadership.
• Investigates, evaluates, and identifies opportunities for improvement and internal controls.
• Develops and maintains professional skills through conferences, seminars, and publications.
• Conducts billing and coding training related to billing, coding, and documentation compliance.
• Assists with development and review of policy procedures to ensure compliance with laws and policies.
• Supports education materials related to documentation and coding and regulatory compliance.
• Reviews documentation and coding and compiles information for QA/QI committees and boards.
• Participates in monitoring reviews and audits by regulatory agencies.
• Analyzes provider documentation to ensure correct E&M levels and CPT coding.
• Fields coding questions from staff.

Skills

Medical coding

Billing compliance

Documentation compliance

CPT coding

E&M levels

Internal controls

Policy development

Auditing

Training development

Data analysis

Education

CPC

CCS-P

COC

Tools

Epic EMR

Job description

Jobtailor in the United States is seeking a Health Care Compliance Auditor specializing in medical coding and documentation compliance. You will review records, ensure CPT/E&M coding accuracy, and report findings to the Compliance Officer and executive leadership.

Qualifications include CPC/CCS-P/COC, 2+ years in health care, HIPAA knowledge, and Epic EMR familiarity. The role emphasizes auditing, policy development, training, and collaboration to strengthen internal controls.