Remote Coding Audit Lead - Health Information Management

Zunch Staffing; Reno (NV); Hybrid; USD 100,000 - 140,000; Full time

Job summary

Zunch Staffing in Reno, NV is seeking a Coding Auditor for Health Information Management. The role coordinates auditing schedules for coding staff and ensures adherence to coding standards to support accurate reimbursement and compliance.

The candidate should have extensive healthcare coding experience and strong knowledge of ICD-10-CM guidelines, with certification preferred. Telecommuting is allowed with HIM leadership approval; on-site collaboration is also expected when required.

Qualifications

• Education: Bachelor's Degree in Health Information Management preferred.
• Experience: Minimum of 10 or more years of progressively responsible experience in healthcare coding, with at least 2 years of auditing experience in either facility or professional services coding.
• Certification: AAPC, AHIMA, or Certified Coding credential (excludes apprenticeship classification).
• Knowledge: Expert knowledge of coding conventions, CMS’ Official Guidelines for ICD-10-CM coding, Anatomy and Physiology, Disease Pathology, and Medical Terminology.
• Computer Skills: Must possess necessary computer skills for online learning, accessing forms and policies, and completing benefits enrollment.
• Language Skills: Working-level knowledge of the English language.

Responsibilities

• Coordinate coding staff auditing schedules to ensure quality and proficiency.
• Audit information coded from provider documentation and patient records within designated time frames.
• Document and report all auditing findings to Coding Leadership.
• Address appeals and review necessary information for insurance denials to facilitate resolution and reimbursement.
• Participate in mandated Medical Record Review processes.
• Interpret and apply American Hospital Association (AHA) Official Coding Guidelines to support appropriate diagnoses and procedures.
• Possess knowledge of discharge disposition and reimbursement outcomes.
• Adhere to Health Information Management (HIM) Coding policies and The Joint Commission (TJC) documentation guidelines.
• Maintain coding certification and stay updated on ICD-10 coding guidelines and regulatory changes.
• Participate in performance improvement initiatives as assigned.

Skills

Auditing

Medical coding

Coding guidelines knowledge

English proficiency

Education

Bachelor's Degree in Health Information Management

Job description

Zunch Staffing in Reno, NV is seeking a Coding Auditor for Health Information Management. The role coordinates auditing schedules for coding staff and ensures adherence to coding standards to support accurate reimbursement and compliance.

The candidate should have extensive healthcare coding experience and strong knowledge of ICD-10-CM guidelines, with certification preferred. Telecommuting is allowed with HIM leadership approval; on-site collaboration is also expected when required.