Remote Medical Coding Auditor - Compliance & Quality

Sprinter Health; United States; On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Parental leave

401(k) match

Unlimited PTO

Flexible schedule

Remote work

Job summary

Sprinter Health is seeking a Medical Coding Auditor to conduct routine and focused audits, educate coders, and support internal and external audits from a remote location. You’ll ensure compliance with CMS, payer policies, and HIPAA while maintaining detailed audit logs and delivering actionable feedback.

The role requires active AAPC CPC or AHIMA certification, at least 3 years of coding experience with audit exposure, and strong CPT/ICD-10-CM/HGPCS knowledge.

Qualifications

• Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.
• Minimum 3 years of medical coding experience, with 1–2 years in coding audit, QA, or compliance.
• Strong understanding of HCC/risk adjustment coding principles and clinical documentation improvement.
• Excellent command of medical terminology, anatomy, physiology, and pharmacology.
• Deep familiarity with CPT, ICD-10-CM, HCPCS and modifier assignment.

Responsibilities

• Conduct routine and focused audits of medical coding to ensure CMS, payer, and organizational standards.
• Develop and deliver education to coders and providers to improve documentation quality and coding accuracy.
• Assist with audit preparation and response, including documentation requests and validation reviews.
• Maintain audit tracking logs, productivity reports, and accuracy metrics.
• Review records and claims data to assess ICD-10-CM, CPT, HCPCS accuracy.
• Identify coding errors and trends; prepare actionable audit reports.
• Stay current with HIPAA, CMS, payer policies, and OIG guidelines.

Skills

AAPC CPC

AHIMA CCS

Medical coding

Remote work

Education

Relevant certifications

Tools

EHR systems

Encoder/coding software

Google tools

Job description

Sprinter Health is seeking a Medical Coding Auditor to conduct routine and focused audits, educate coders, and support internal and external audits from a remote location. You’ll ensure compliance with CMS, payer policies, and HIPAA while maintaining detailed audit logs and delivering actionable feedback.

The role requires active AAPC CPC or AHIMA certification, at least 3 years of coding experience with audit exposure, and strong CPT/ICD-10-CM/HGPCS knowledge.