Remote Medical Coding Auditor and Compliance Specialist

Sprinter Health

Menlo Park (CA)

Remote

USD 70,000 - 100,000

Full time

11 days ago
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Benefits offered by this job

Base salary $33
Health, dental, vision premiums paid
Parental leave
401(k) with company match
Flexible PTO

Job summary

Sprinter Health is seeking a Medical Coding Auditor to conduct audits of medical coding for CMS, payer, and internal standards. Remote, full-time temporary through January 31, 2027, with responsibilities including education delivery, audit prep support, and reporting on coding accuracy.

You will review ICD-10-CM, CPT, and HCPCS, develop actionable improvement plans, and stay current with guidelines. Ideal candidates have CPC/CCS credentials, 3+ years coding experience, and strong problem-solving

Qualifications

  • Active AAPC CPC or AHIMA CCS-P/CCS certification.
  • Minimum 3 years of medical coding experience, with 1–2 years in auditing, QA, or compliance.
  • Strong understanding of HCC/risk adjustment coding and clinical documentation improvement.
  • Excellent knowledge of CPT, ICD-10-CM, HCPCS, and modifier assignment.
  • Ability to work independently and maintain productivity in a remote setting.

Responsibilities

  • Conduct routine and focused audits of medical coding for compliance and quality.
  • Develop and deliver education to coders and providers to improve documentation and coding accuracy.
  • Assist with internal and external audit preparation and response, including documentation requests.
  • Maintain audit tracking logs, productivity reports, and accuracy metrics per policy.
  • Review records and claims to assess ICD-10-CM, CPT, HCPCS and modifier assignment accuracy.
  • Identify coding errors and trends; prepare detailed audit reports with actionable findings.
  • Stay current with AAPC/AHIMA/ CMS guidelines and payer policy changes.

Skills

Communication skills
Problem-solving skills
Independent work

Education

AAPC CPC
AHIMA CCS-P
AHIMA CCS

Tools

Elation
Encoder software
Google tools

Job description

Sprinter Health is seeking a Medical Coding Auditor to conduct audits of medical coding for CMS, payer, and internal standards. Remote, full-time temporary through January 31, 2027, with responsibilities including education delivery, audit prep support, and reporting on coding accuracy.

You will review ICD-10-CM, CPT, and HCPCS, develop actionable improvement plans, and stay current with guidelines. Ideal candidates have CPC/CCS credentials, 3+ years coding experience, and strong problem-solving

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