Remote Medical Auditor: ICD-10 Coding & Compliance

ExactCare Pharmacy; Moorestown Township (NJ); Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

401(k) plan

Paid time off

Remote work option

Short-term disability

Life insurance

Job summary

AnewHealth is seeking a Remote Medical Auditor who will review patient encounters for completeness and accuracy of documentation and correct ICD-10 coding. This role supports risk-adjusted organizations to maintain compliance and optimize reimbursement.

The candidate will perform clinical validation, audits, and reporting while staying current with coding guidelines and regulatory changes. Strong MS Office skills and HIPAA compliance are essential.

Qualifications

• Professional Medical Coder Certification required.
• Certifications CCS, CPC, RHIT and CPMA preferred.
• Experience with ICD-10-CM coding and HIPAA regulations preferred.

Responsibilities

• Perform clinical validation audits and interpretation of medical documentation to ensure capture of patient conditions per coding guidelines.
• Conduct prospective, retrospective, and RADV audits; compile findings for client reports.
• Provide feedback and process improvements to client liaisons and participate in meetings.

Skills

Clinical documentation improvement

HCC experience

Medicare Advantage knowledge

Managed health care systems knowledge

PACE experience

Education

Professional Medical Coder Certification

CCS (AHIMA)

CPC

RHIT with ICD-10-CM experience

CRC

CPMA

Tools

MS Word

MS Excel

MS PowerPoint

Job description

AnewHealth is seeking a Remote Medical Auditor who will review patient encounters for completeness and accuracy of documentation and correct ICD-10 coding. This role supports risk-adjusted organizations to maintain compliance and optimize reimbursement.

The candidate will perform clinical validation, audits, and reporting while staying current with coding guidelines and regulatory changes. Strong MS Office skills and HIPAA compliance are essential.