Remote Coding Compliance Auditor & CDI Advisor

3B Staffing LLC

Chicago (IL)

Remote

USD 55,000 - 110,000

Full time

3 days ago
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Job summary

3B Staffing LLC is seeking a remote Coding Compliance Auditor to support a Medical Center contract role. You will design chart reviews, test billing/documentation, and work closely with the CDI team to reconcile and improve coding compliance.

Required are coding credentials and 3–5 years of senior audit experience, with EPIC/Solventum Encoder/3M and SmarterDx familiarity. Strong communication and regulatory knowledge are essential.

Qualifications

  • High School Diploma or GED required.
  • Coding certification required (e.g., RHIA, RHIT, and/or CCS)
  • Three to five years of senior-level coding audit experience, or five years of coding experience
  • Experience with CDI reconciliation and collaboration with the CDI team
  • Ability to interpret and analyze EMRs, ancillary reports, and payer guidelines
  • Proficiency in Microsoft Office applications
  • Excellent verbal and written communication with physicians and leadership
  • Experience with EPIC, Solventum Encoder/3M; SmarterDx a plus
  • Query experience is valuable for this role
  • Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing, or related field preferred

Responsibilities

  • Design and perform chart reviews, testing the appropriateness of billing and documentation.
  • Prepare and present reports of findings with recommendations for corrective action as needed.
  • Identify and prioritize risk issues, working as part of a team on projects.
  • Monitor the Medical Center's compliance with governmental regulations through recurring compliance reviews.
  • Research government billing regulations, third-party payer guidelines, prospective payment systems, and ICD-9-CM/CPT/HCPCS coding guidelines.
  • Maintain a current understanding of regulatory issues through seminars, training courses, and regulatory literature.
  • Assist with the development of the annual departmental work plan.
  • Design and implement individualized documentation and coding improvement activities for physicians and administrators.
  • Act as a resource and educator on documentation improvement projects.
  • Serve as the internal liaison for the Medical Center on coding and compliance questions and concerns.
  • Facilitate compliance initiatives through education, newsletters, and training sessions.
  • Assist in the development, coordination, and maintenance of all elements of the Compliance Education Program.
  • Assist in updates to Compliance manuals and websites.
  • Other duties and projects as assigned

Skills

Coding audit experience
CDI reconciliation
Regulatory interpretation
Verbal and written communication
Team collaboration
Microsoft Office proficiency
Query experience

Education

Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing, or related field
High School Diploma or GED

Tools

EPIC
Solventum Encoder/3M
SmarterDx

Job description

3B Staffing LLC is seeking a remote Coding Compliance Auditor to support a Medical Center contract role. You will design chart reviews, test billing/documentation, and work closely with the CDI team to reconcile and improve coding compliance.

Required are coding credentials and 3–5 years of senior audit experience, with EPIC/Solventum Encoder/3M and SmarterDx familiarity. Strong communication and regulatory knowledge are essential.

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