Remote Medical Coding Auditor – Compliance & Audits

Emory Healthcare; North Carolina; Remote; USD 60,000 - 90,000; Full time

Job summary

Emory Healthcare seeks a remote Medical Coding Auditor to ensure accurate coding and compliant documentation for professional coding services. You will review patient records, work with providers and teams, and support proper reimbursement.

Qualifications include coding certification (AAPC/AHIMA), at least two years in medical billing/coding, and familiarity with ICD-10, CPT, and EHR systems. Experience in audits and training is preferred.

Qualifications

• High school diploma or equivalent required.
• Two years of post-secondary education in a business or medical-related field preferred.
• Two years of experience in a 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).
• Familiarity with ICD-10, CPT, HCPCS and other coding systems.
• Experience with medical coding, auditing, or chart review in a healthcare setting preferred.
• Strong knowledge of medical terminology, anatomy, and coding systems.
• Knowledge of payer guidelines, CMS regulations, and HIPAA standards is beneficial.

Responsibilities

• Review patient records, clinical documentation, and coded data to identify discrepancies and coding issues.
• Collaborate with providers, coders, and compliance teams to support accurate professional coding practices.
• Support appropriate reimbursement and mitigate compliance risks through detailed coding reviews.
• Conduct comprehensive chart reviews to evaluate coding accuracy and documentation quality.
• Evaluate provider documentation to ensure appropriate coding and regulatory compliance.
• Participate in routine audits to maintain high standards of coding accuracy and compliance.
• Provide education and training to healthcare professionals regarding coding standards and documentation improvement.
• Analyze coding data to identify trends, opportunities for improvement, and compliance risks.
• Generate audit reports summarizing findings and recommendations.

Skills

Medical coding

Auditing

Chart review

Regulatory compliance

Medical terminology

Anatomy

Education

Coding certification (AAPC/AHIMA) required

High school diploma or equivalent

Post-secondary education in business or medical field preferred

Tools

EHR systems

Job description

Emory Healthcare seeks a remote Medical Coding Auditor to ensure accurate coding and compliant documentation for professional coding services. You will review patient records, work with providers and teams, and support proper reimbursement.

Qualifications include coding certification (AAPC/AHIMA), at least two years in medical billing/coding, and familiarity with ICD-10, CPT, and EHR systems. Experience in audits and training is preferred.