Remote Clinical Coding & Compliance Analyst

101 Riverside Hospital, Inc.; United States; Remote; USD 57,000 - 79,000; Full time

Job summary

Riverside Health System in Newport News, VA is seeking a Medical Coding Auditor to independently review medical records, audits and ensure compliant coding and billing for commercial and government payors.

You will educate providers and staff on coding methodologies, identify denial trends, and collaborate with internal auditing to implement corrective actions. This role offers remote work eligibility for eligible states.

Qualifications

• High School Diploma or GED is required.
• 3-4 years Commercial and Government Billing/Coding/Collections is required.
• 1 year Medical Record Reviews is required.
• CPC/COC/CPMA or equivalent AAPC credential required.

Responsibilities

• Independently conducts medical record audits following official coding guidelines.
• Analyzes coding to evaluate risks related to payor reviews and denials.
• Educates providers and staff on payor rules and coding accuracy.
• Identifies trends and develops corrective action plans for improvement.

Skills

Billing & Coding

Auditing

Medical Records

Education

High School Diploma

CPC Certification

COC Certification

CPMA Certification

Job description

Riverside Health System in Newport News, VA is seeking a Medical Coding Auditor to independently review medical records, audits and ensure compliant coding and billing for commercial and government payors.

You will educate providers and staff on coding methodologies, identify denial trends, and collaborate with internal auditing to implement corrective actions. This role offers remote work eligibility for eligible states.