Remote Healthcare Coding Auditor & Reviewer

Commence; Virginia Beach (VA); On-site; USD 62,000 - 96,000; Part time

Job summary

Commence is seeking a part-time Coding Specialist to support clinical documentation reviews and coding audits. The role involves remote and office work with healthcare data, ensuring accuracy and compliance while communicating findings clearly to hospitals and clients.

Ideal candidates have 2+ years in outpatient coding/audit roles, familiarity with ICD-10-CM/PCS, CPT/HCPCS, and DRG/APRDRG, and a Bachelor’s degree with relevant licensure or credentials such as RHIA/RHIT/CCS.

Qualifications

• 2+ years of complex coding, auditing, or QA in healthcare.
• Familiar with ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG coding systems.
• Ability to research, determine, and apply solutions.
• HIPAA and privacy/compliance knowledge.
• Ability to communicate with reviewers and clients to ensure quality findings.

Responsibilities

• Perform audits and reviews for identified encounters accurately.
• Generate audit deliverables and work papers.
• Maintain clear verbal and written communications with hospital staff and clients.
• Assist in determining medical necessity and coding accuracy.

Skills

ICD-10-CM/PCS coding

CPT/HCPCS coding

DRG/APRDRG coding

Auditing/QA in healthcare

HIPAA/compliance knowledge

Communication with reviewers/clients

Education

Bachelor’s degree in related discipline

RHIA/RHIT/RN/MD; CCS/CCS-P/CPC/CRC

License or credentialed auditing background

Job description

Commence is seeking a part-time Coding Specialist to support clinical documentation reviews and coding audits. The role involves remote and office work with healthcare data, ensuring accuracy and compliance while communicating findings clearly to hospitals and clients.

Ideal candidates have 2+ years in outpatient coding/audit roles, familiarity with ICD-10-CM/PCS, CPT/HCPCS, and DRG/APRDRG, and a Bachelor’s degree with relevant licensure or credentials such as RHIA/RHIT/CCS.