Remote Medical Coding Auditor — Compliance & QA

DaMar Staffing; California (MO); Remote; USD 54,000 - 66,000; Full time

Benefits offered by this job

Health, dental, vision premiums

Parental leave

401(k) with company match

Flexible PTO

Flexible schedule

Base salary $33

Job summary

Sprinter Health seeks a Medical Coding Auditor to conduct audits ensuring CMS, payer, and internal standards are met, while educating coders to improve documentation accuracy. This full-time, remote role runs through January 31, 2027, offering a stable schedule and the chance to impact care quality from home.

You will review ICD-10-CM, CPT, HCPCS, and modifiers, stay current with AAPC/AHIMA guidelines, and deliver actionable feedback.

Qualifications

• Certification:Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.
• Experience:Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance capacity.
• Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.
• Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.
• Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.
• Ability to work independently and maintain productivity in a remote setting.
• Strong communication and problem-solving skills.
• Proficient in EHR systems, encoder/coding software, and Google tools.
• Reliable internet connection and dedicated, secure workspace.

Responsibilities

• Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
• Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
• Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
• Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
• Review medical records, claims data, and provider documentation to assess the accuracy of ICD-10-CM, CPT, HCPCS, and modifier assignment.
• Identify coding errors, trends, and opportunities for improvement; prepare detailed audit reports with actionable findings.
• Stay current with AAPC, AHIMA, CMS, and OIG guidelines, as well as payer policy changes and HCC model updates.
• Uphold all HIPAA, privacy, and compliance standards in handling patient data and audit documentation.

Skills

Attention to detail

Independent work

Communication skills

Problem solving

Medical terminology

EHR proficiency

Google tools

Education

AAPC CPC certification (active)

AHIMA CCS-P/CCS certification

Tools

Elation EMR

Google Suite

Job description

Sprinter Health seeks a Medical Coding Auditor to conduct audits ensuring CMS, payer, and internal standards are met, while educating coders to improve documentation accuracy. This full-time, remote role runs through January 31, 2027, offering a stable schedule and the chance to impact care quality from home.

You will review ICD-10-CM, CPT, HCPCS, and modifiers, stay current with AAPC/AHIMA guidelines, and deliver actionable feedback.