Remote Medical Auditor: ICD-10 & Coding Specialist

AnewHealth; New York (NY); Remote; USD 75,000 - 105,000; Full time

Benefits offered by this job

Health benefits

401(k)

Paid time off

Paid holidays

Job summary

AnewHealth is seeking a Remote Medical Auditor to apply specialized expertise in reviews of patient encounters for complete and accurate provider documentation and ICD-10 coding. This role supports compliance and opportunities for improved financial performance, working remotely across the United States.

The ideal candidate will have professional coder certification (CCS/CPC or RHIT with ICD-10 CM), experience with Medicare Advantage, and proficiency in MS Office.

Qualifications

• Professional Medical Coder Certification is required.
• One of CCS, CPC, or RHIT with ICD-10 CM experience is required.
• Prefer CRC Certification and CPMA credential.

Responsibilities

• Perform clinical validation audits and interpretation of medical documentation to ensure capture of patient conditions in compliance with coding guidelines.
• Perform prospective, retrospective, and RADV audits as requested by the client.
• Educate on coding principles and integrate them into audit activities.
• Prepare client reports with detailed findings after medical record audits.
• Review audit results with the client on a monthly basis or as needed.
• Provide feedback and process improvement recommendations to the Client Service Liaison.

Skills

HCC knowledge

Medicare Advantage knowledge

Managed care systems experience

Attention to detail

Education

Professional Medical Coder Certification

CCS

CPC

RHIT with ICD-10 CM experience

Tools

MS Word

Excel

PowerPoint

Job description

AnewHealth is seeking a Remote Medical Auditor to apply specialized expertise in reviews of patient encounters for complete and accurate provider documentation and ICD-10 coding. This role supports compliance and opportunities for improved financial performance, working remotely across the United States.

The ideal candidate will have professional coder certification (CCS/CPC or RHIT with ICD-10 CM), experience with Medicare Advantage, and proficiency in MS Office.