Remote Coding Quality Auditor & Educator

Brown Medicine; United States; Remote; USD 67,000 - 112,000; Full time

Job summary

Brown University Health is seeking a Coding Quality Reviewer and Educator to perform prospective and retrospective audits of professional coding and medical records across a multispecialty ambulatory environment, validating ICD-10-CM, CPT, and HCPCS codes for CMS compliance and organizational standards.

This role develops and delivers targeted education to coders, providers, and clinical departments to support compliant, defensible documentation and optimal revenue integrity outcomes, with

Qualifications

• High school diploma or equivalent required.
• CPC or CCS/CCS-P certification preferred.
• Minimum five years of professional coding experience in a multispecialty setting.
• Experience performing provider and coder education is preferred.

Responsibilities

• Perform prospective and retrospective audits of coding accuracy and completeness.
• Evaluate documentation for medical necessity and CMS compliance.
• Document audit findings clearly with supporting rationale.
• Develop targeted education based on audit findings and trends.
• Track audit results to identify systemic risks and improvement opportunities.
• Stay current on coding guidelines and certification requirements.

Skills

ICD-10-CM knowledge

CPT knowledge

HCPCS coding

E/M coding

Medical terminology

Oral and written communication

EHR proficiency

Epic experience

Data analysis

Education

High school diploma or equivalent

CPC

CCS/CCS-P

Tools

Microsoft Office

EMR systems

Job description

Brown University Health is seeking a Coding Quality Reviewer and Educator to perform prospective and retrospective audits of professional coding and medical records across a multispecialty ambulatory environment, validating ICD-10-CM, CPT, and HCPCS codes for CMS compliance and organizational standards.

This role develops and delivers targeted education to coders, providers, and clinical departments to support compliant, defensible documentation and optimal revenue integrity outcomes, with