Remote Coding Compliance Auditor – Pediatrics

Imagine Pediatrics; United States; Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Competitive medical, dental, and vision insurance

401(k) with 4% match

20 days PTO + 10 Company Holidays & 2 Floating Holidays

Job summary

Imagine Pediatrics is seeking a Coding Compliance Auditor to enhance coding accuracy and compliance in pediatric healthcare. This remote role focuses on ensuring coding practices align with national standards and internal policies.

Candidates should possess over 5 years of coding experience, including E/M and outpatient coding. Benefits include a salary range of $75,000 - $90,000, competitive insurance, and a diverse and inclusive working environment.

Qualifications

• 5+ years of experience in professional fee coding and auditing, specializing in E/M and outpatient coding across a variety of clinical settings.
• Prior coding or auditing experience in a Medicaid environment.
• Experience providing individual and group educational training to staff and providers using excellent verbal and written communication skills.

Responsibilities

• Review medical records and clinical documentation for accurate coding in accordance with CMS regulations.
• Conduct coding audits to identify discrepancies and compliance risks.
• Prepare written reports of findings to Compliance Leadership.

Skills

E/M coding

Outpatient coding

Telehealth experience

Medical terminology

HEDIS measures

Quantitative and analytical skills

Education

Bachelor’s degree in healthcare management or related field

CPC certification

CCS certification

CPMA certification

Tools

EMR software (e.g., Athena Health)

Job description

Imagine Pediatrics is seeking a Coding Compliance Auditor to enhance coding accuracy and compliance in pediatric healthcare. This remote role focuses on ensuring coding practices align with national standards and internal policies.

Candidates should possess over 5 years of coding experience, including E/M and outpatient coding. Benefits include a salary range of $75,000 - $90,000, competitive insurance, and a diverse and inclusive working environment.