Remote Medical Coding Auditor | Compliance & Audits

Emory Healthcare; Virginia Beach (VA); À distance; USD 65 000 - 85 000; Plein temps

Résumé du poste

Emory Healthcare is seeking a qualified Medical Coder/Audit specialist to ensure accurate coding and compliant documentation. The role reviews records, identifies discrepancies, and collaborates with providers, coders, and compliance teams to support proper reimbursement.

Candidates should hold CCS/P CPC or RHIA/RHIT certification, with at least two years in medical billing or coding and familiarity with EHR systems.

Qualifications

• Two years of experience in medical billing or coding office preferred.
• Coding certification required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).
• Experience with medical coding, auditing, or chart review preferred.
• Familiarity with electronic health record (EHR) systems preferred.
• High school diploma or equivalent required.
• Two years of post-secondary education preferred.

Responsabilités

• 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.

Connaissances

Medical coding

Auditing

Chart review

Regulatory compliance

EHR systems

Attention to detail

Communication skills

Formation

High school diploma or equivalent

Two years post-secondary education in business/medical field

Coding certification (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H)

Description du poste

Emory Healthcare is seeking a qualified Medical Coder/Audit specialist to ensure accurate coding and compliant documentation. The role reviews records, identifies discrepancies, and collaborates with providers, coders, and compliance teams to support proper reimbursement.

Candidates should hold CCS/P CPC or RHIA/RHIT certification, with at least two years in medical billing or coding and familiarity with EHR systems.