Remote Coding Auditor - Health Information Compliance

Socket.dev; Indianapolis (IN); On-site; USD 49,000 - 73,000; Full time

Job summary

Franciscan Alliance is seeking a Coding Auditor to support inpatient compliance across Indiana, with a remote/work-from-home setup. The role focuses on coding inquiries, audits, and adherence to payer guidelines, requiring CCS and 5 years of auditing experience.

The ideal candidate holds AHIMA credentials (CCS required; RHIA/RHIT preferred) and a health information management degree. Travel is rarely required, and you will contribute to quality reviews and staff education.

Qualifications

• Associate's degree in Health Information Management preferred.
• Bachelor's degree in Health Information Management preferred.
• High School Diploma/GED required.
• 5 years coding experience relevant to auditing specialty with CCS – Required.
• CCS (Certified Coding Specialist) – AHIMA – Required or RHIA/RHIT preferred.

Responsibilities

• Review, research, and respond to coding inquiries from other Franciscan departments.
• Integrate current industry changes into a clinical audit practice setting.
• Act as a subject matter expert regarding payer reimbursement methodologies and official coding guidelines.
• Assist Coding Supervisor with reviewing and responding to external coding audits.
• Perform quality reviews to ensure compliance with payer reimbursement methodologies and official coding guidelines.
• Provide audit results and trends to the Coding Education Specialists for education development and training.
• Summarize quality review results for Coding Managers, Supervisors, Coding Education Specialists, and coding staff.
• Travel is required: Never or Rarely.

Education

Associate's Degree in Health Information Management - Preferred

Bachelor's degree in health information Management - Preferred

High School Diploma/GED - Required

CCS (Certified Coding Specialist) - AHIMA - Required

RHIA or RHIT - Preferred

Job description

Franciscan Alliance is seeking a Coding Auditor to support inpatient compliance across Indiana, with a remote/work-from-home setup. The role focuses on coding inquiries, audits, and adherence to payer guidelines, requiring CCS and 5 years of auditing experience.

The ideal candidate holds AHIMA credentials (CCS required; RHIA/RHIT preferred) and a health information management degree. Travel is rarely required, and you will contribute to quality reviews and staff education.