Remote CPMA Medical Coding Auditor - Quality & Compliance

Tegria Company; United States; Remote; USD 75,000 - 95,000; Full time

Benefits offered by this job

Health plans

Retirement savings

Remote work

PTO and flexibility

Job summary

Tegria seeks a Certified Professional Medical Coding Auditor to evaluate the accuracy and quality of medical records coded by internal and external staff. You will conduct monthly and targeted audits, ensure compliance with ICD-10-CM, CPT, HCPCS, and payer requirements, and document findings for leadership decisions.

You will identify coding trends, provide feedback, support coder development, and help drive revenue integrity across the organization in a remote work environment.

Qualifications

• High school diploma or equivalent required.
• Associates or Bachelor’s degree in Health Information Management or related healthcare field preferred.
• Current CPMA certification with one of the following: CPC, CCS, COC, RHIT, or RHIA.
• Minimum 3 years of medical coding experience in professional and/or facility coding.
• Minimum 1 year of coding quality review, auditing, or coding education experience.

Responsibilities

• Conduct audits of ICD-10-CM, CPT, HCPCS Level II, ICD-10-PCS, and modifier codes.
• Evaluate coding accuracy, completeness, consistency, and compliance with guidelines.
• Perform monthly quality assurance audits and focused reviews.
• Validate correct code assignment and sequencing based on provider documentation.
• Escalate complex coding questions to senior auditors or leadership.
• Identify coding errors and trends; suggest process improvements.

Skills

Auditing processes

Coding quality

Coder education

Data analysis

Education

High school diploma or equivalent

Associates or Bachelor's degree in Health Information Management or related healthcare field preferred

Tools

AI tools

Job description

Tegria seeks a Certified Professional Medical Coding Auditor to evaluate the accuracy and quality of medical records coded by internal and external staff. You will conduct monthly and targeted audits, ensure compliance with ICD-10-CM, CPT, HCPCS, and payer requirements, and document findings for leadership decisions.

You will identify coding trends, provide feedback, support coder development, and help drive revenue integrity across the organization in a remote work environment.