Remote Healthcare Coding Auditor | Compliance & Education

Surgery Partners; United States; Remote; USD 70,000 - 110,000; Full time

Job summary

Surgery Partners is seeking a Coding Auditor to evaluate and improve the quality, accuracy, and compliance of coding across multiple healthcare service lines, including ASC, Hospital Outpatient, and professional fee coding. The role reports to the Coding Vendor Manager and focuses on audits, trend identification, and education to drive performance improvement.

Primarily remote with occasional travel to support 58+ facilities and vendor meetings.

Qualifications

• Advanced knowledge of ICD-10-CM/PCS, CPT, HCPCS, CMS, NCCI, ASC, Hospital Outpatient.
• Strong analytical, communication, auditing, and documentation review skills.
• Experience with encoder systems, EHRs, auditing software, Excel, and Microsoft Office.

Responsibilities

• Perform routine and targeted audits of internal and outsourced coding vendors.
• Conduct pre-bill, post-bill, focused, and retrospective audits.
• Evaluate coding accuracy, modifier usage, sequencing, documentation support, and compliance.
• Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS, CMS, NCCI, payer policies, and organizational standards.
• Validate documentation and medical necessity.
• Monitor coding quality and trends.
• Assist with scorecards and corrective action plans.
• Support internal/external audits and regulatory compliance.
• Provide coder education and feedback.
• Partner with Revenue Integrity, HIM, Compliance, CDI, and Operations.
• Prepare audit reports, dashboards, and trend analyses.
• Recommend process improvements and maintain coding policies.

Skills

ICD-10-CM/PCS coding

CPT coding

HCPCS coding

CMS/NCCI policies

Auditing

Documentation review

Education

Bachelor's degree or equivalent experience

Tools

Encoder systems

EHRs

Auditing software

Excel

Job description

Surgery Partners is seeking a Coding Auditor to evaluate and improve the quality, accuracy, and compliance of coding across multiple healthcare service lines, including ASC, Hospital Outpatient, and professional fee coding. The role reports to the Coding Vendor Manager and focuses on audits, trend identification, and education to drive performance improvement.

Primarily remote with occasional travel to support 58+ facilities and vendor meetings.