Remote Coding Quality Auditor & Educator

Brown University Health; Tallahassee (FL); Remote; USD 68,000 - 112,000; Full time

Job summary

Brown University Health is seeking a Coding Quality Reviewer and Educator to conduct comprehensive audits of professional coding and medical records across a multispecialty ambulatory environment.

This fully remote role validates ICD-10-CM, CPT, and HCPCS coding in accordance with CMS regulations and payer policies, and delivers targeted education to coders, providers, and clinical departments to support compliant documentation and revenue integrity.

Qualifications

• Minimum of five years of professional coding experience, preferably in a large academic multispecialty setting.
• Prior coding audit experience strongly preferred.
• Prior experience performing provider and coder education strongly preferred.

Responsibilities

• Perform prospective and retrospective audits of professional coding and medical records to validate accuracy and completeness of ICD-10-CM, CPT, HCPCS, and modifiers.
• Evaluate clinical documentation to ensure services billed are supported, medically necessary, and compliant with CMS, payer-specific, and organizational requirements.
• Validate both coder and provider assigned codes; document findings in an audit-defensible format.
• Apply non-leading, compliant review methodologies in line with ACDIS/AHIMA guidance.
• Identify root causes of coding discrepancies and collaborate on corrective action plans.
• Develop and conduct targeted education to coders, providers, and clinical departments.
• Track and trend audit results to identify systemic risks and opportunities for improvement.
• Research coding guidelines from CMS, MAC, and payers; compile into a user-friendly manual.
• Stay current on coding updates and certification requirements.

Skills

ICD-10-CM/CPT/HCPCS

E/M coding

Medical terminology

Regulatory guidance

Audit data analysis

Education delivery

EHR proficiency

MS Office

Communication of coding concepts

Attention to detail

Epic EHR

Audit tools

Education

High school diploma or equivalent

CPC or CCS/CCS-P certification

Specialty certification within 1 year

Tools

Epic EHR

Audit tools

Job description

Brown University Health is seeking a Coding Quality Reviewer and Educator to conduct comprehensive audits of professional coding and medical records across a multispecialty ambulatory environment.

This fully remote role validates ICD-10-CM, CPT, and HCPCS coding in accordance with CMS regulations and payer policies, and delivers targeted education to coders, providers, and clinical departments to support compliant documentation and revenue integrity.