Medical Coding Auditor-Inpatient

Performant Healthcare, Inc.; United States; Remote; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) savings plan

Paid family/parental leave

Vacation time and sick leave

Job summary

A healthcare payment integrity company is seeking a Medical Coding Auditor to work remotely. The role involves auditing medical records for accurate coding and ensuring compliance with healthcare regulations. The ideal candidate should have extensive coding knowledge and a minimum of three years of related experience. The position offers competitive compensation and a variety of benefits.

Qualifications

• Minimum of three years of direct experience in coding/auditing services.
• Experience coding for emergency care and same-day surgery preferred.
• Background check and drug test required.

Responsibilities

• Audit medical records for accurate coding using ICD‑10, CPT, and HCPCS.
• Ensure compliance with HIPAA and CMS standards.
• Provide training to coding staff on best practices.

Skills

Extensive knowledge of ICD‑10, CPT, and HCPCS coding systems

Strong analytical and problem‑solving skills

Excellent attention to detail and accuracy

Effective communication and interpersonal skills

Ability to work independently and as part of a team

Education

High school diploma or GED

Associate’s or Bachelor’s degree in Health Information Management, Medical Coding, or related field

Active coding certification (CPC, CCS, etc.)

Tools

Coding software

Electronic health record (EHR) systems

Job description

3 days ago Be among the first 25 applicants

About Performant

At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Our mission is to offer innovative payment accuracy solutions that allow our clients to focus on quality of care and healthier lives for all.

Medical Coding Auditor – Inpatient (Remote)

Location: Remote. Full‑time. Salary: $70,000 – $85,000 per year.

Key Responsibilities

• Audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD‑10, CPT, and HCPCS codes.
• Ensure coding practices comply with federal, state, and payer‑specific regulations and guidelines, including HIPAA and CMS standards.
• Detect discrepancies and coding errors, provide feedback, and collaborate with coding staff to correct inaccuracies in medical documentation.
• Provide training and support to coding staff on best practices, coding updates, and compliance standards. Conduct workshops and seminars as needed.
• Prepare detailed audit reports highlighting findings, trends, and areas for improvement; present reports to management and relevant stakeholders.
• Assist in developing and updating coding policies, procedures, and guidelines to ensure ongoing compliance and efficiency.
• Work closely with medical billing, compliance, and clinical teams to ensure coding supports accurate billing and reimbursement processes.
• Keep up‑to‑date with changes in coding regulations, industry trends, and best practices; participate in continuing education to maintain coding certifications.

Knowledge, Skills & Abilities

• Extensive knowledge of ICD‑10, CPT, and HCPCS coding systems.
• Familiarity with healthcare regulations, including HIPAA, CMS guidelines, and payer‑specific requirements.
• Understanding of medical terminology, anatomy, and physiology.
• Strong analytical and problem‑solving skills.
• Excellent attention to detail and accuracy.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency in coding software and electronic health record (EHR) systems.

Required & Preferred Qualifications

• High school diploma or GED required.
• Associate’s or Bachelor’s degree in Health Information Management, Medical Coding, or related field preferred.
• Active certification required (Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS); preferred CPC‑H, CPC‑P, RHIA, RHIT, CCS‑P).
• At least three years of direct experience in coding/auditing applicable services and medical chart review for all provider/claim types.
• Experience coding for emergency care, observation, and same‑day surgery preferred.
• Prior auditing experience in a provider setting, payer experience in claim processing, edit development, and/or coding and reimbursement policy a plus.
• Background check and drug test required; ability to obtain client‑required clearances applicable to the position.

Benefits

Performant offers a wide range of benefits to support a healthy work/life balance, including medical, dental, vision, disability coverage options, life insurance coverage, 401(k) savings plans, paid family/parental leave, 11 paid holidays per year, and sick time and vacation time off annually.

Physical Requirements & Work Environment

Remote working requiring reliable, secure high‑speed Internet at home office location. Typical office duties include sitting at a desk, using an office phone or headset, using a computer monitor, typing on a keyboard and using a mouse. Reading and comprehending information in electronic or paper form. Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10 lbs.

Background & Clearance

Must submit to, and pass, a pre‑hire criminal background check and drug test. Ability to obtain and maintain client‑required clearances may be required for some positions.

Diversity & EEO

Performant is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. Our diversity makes Performant unique and strengthens us to better serve our clients.