Remote Medical Coding Auditor — Compliance & Audit

Emory Healthcare; Lake Michigan Beach (MI); Remote; USD 60,000 - 90,000; Full time

Job summary

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure the accuracy, completeness, and compliance of professional coding and clinical documentation. You will review patient records and collaborate with providers, coding teams, and compliance staff to support accurate coding and appropriate reimbursement.

The role emphasizes audits, ongoing education on ICD-10, CPT, HCPCS, HIPAA, and regulatory standards.

Qualifications

• High school diploma or equivalent required.
• Two years post-secondary education in a business or medical-related field preferred.
• Two years of experience in medical billing or coding office required; medical management experience preferred.
• Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).
• Minimum of two years of experience working in a medical billing, coding, or healthcare revenue cycle environment preferred.

Responsibilities

• Ensures the accuracy, completeness, and compliance of medical coding and documentation for professional coding services.
• Reviews patient records, clinical documentation, and coded data to identify discrepancies and coding issues.
• Works closely with healthcare providers, coders, and compliance teams to support accurate professional coding practices.
• Supports appropriate reimbursement and mitigates compliance risks through detailed coding reviews.
• Conducts comprehensive chart reviews to evaluate coding accuracy and documentation quality.
• Evaluates provider documentation to ensure appropriate coding and regulatory compliance.
• Participates in routine audits to maintain high standards of coding accuracy and compliance.
• Provides education and training to healthcare professionals regarding coding standards and documentation improvement.
• Analyzes coding data to identify trends, opportunities for improvement, and compliance risks.
• Generates audit reports summarizing findings and recommendations.

Skills

Medical coding

Auditing

Chart review

Regulatory compliance

Communication skills

Education

High school diploma or equivalent

Two years post-secondary in business/medical field

Tools

EHR systems

ICD-10/CPT/HCPCS knowledge

Job description

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure the accuracy, completeness, and compliance of professional coding and clinical documentation. You will review patient records and collaborate with providers, coding teams, and compliance staff to support accurate coding and appropriate reimbursement.

The role emphasizes audits, ongoing education on ICD-10, CPT, HCPCS, HIPAA, and regulatory standards.