Remote Coding Auditor - Healthcare Claims & Compliance

Hcfraudshield; Chesterfield (MO); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental & Vision insurance

401(k) retirement savings with company

Vacation and sick paid time off

7 paid holidays & 2 floating holidays

Paid maternity/paternity leave

Disability & Life insurance

Flexible Spending Account (FSA)

Employee Assistance Program (EAP)

Professional and career development

Remote work eligible

Job summary

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management.

The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations.

Qualifications

• Must have CPC/CCS/CCA certification.
• At least one year of investigative experience.
• Strong foundation in medical coding and auditing practices.
• Ability to interpret ICD-10-CM, CPT, HCPCS, DRG codes.

Responsibilities

• Review procedures and codes billed on claims against medical records.
• Assess billable services and determine appropriate reimbursement.
• Document findings for each claim line and summarize in written reports.
• Abstract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from records.
• Maintain current knowledge of coding guidelines and regulatory requirements.
• Uphold privacy and security standards for all protected information.

Skills

Medical terminology

Medical coding knowledge (CPT, HCPCS,

Education

CPC

CCS

CCA

Job description

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management.

The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations.