Remote Coding Quality Reviewer & Educator

LCS Lifespan Corporate Services d/b/a Brown University Health; Town of Florida (NY); Hybrid; USD 67,000 - 112,000; Full time

Job summary

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

The role requires expert coding knowledge, education delivery, and remote work ability. You will validate ICD-10-CM, CPT, and HCPCS codes, identify trends, and provide corrective action plans with leadership. Strong CMS and payer guideline knowledge is essential.

Qualifications

• Education: High school diploma or equivalent required.
• Certifications: CPC (AAPC) or CCS/CCS-P (AHIMA) required.
• Experience: 5+ years professional coding experience; audit experience preferred.

Responsibilities

• Perform prospective and retrospective audits of professional coding and medical records to validate accuracy.
• Evaluate documentation to ensure services billed are supported and compliant.
• Develop and deliver targeted education to coders and providers based on audit findings.

Skills

ICD-10-CM, CPT, HCPCS

E/M coding

Medical terminology

Regulatory guidance

Audit data analysis

Provider education

Documentation interpret

Clear communication

EHR proficiency

Education

High school diploma or equivalent

CPC (AAPC)

CCS or CCS-P (AHIMA)

Specialty certification within 1 year

Tools

Epic

Job description

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

The role requires expert coding knowledge, education delivery, and remote work ability. You will validate ICD-10-CM, CPT, and HCPCS codes, identify trends, and provide corrective action plans with leadership. Strong CMS and payer guideline knowledge is essential.