Remote Medical Coding Auditor & Compliance Reviewer

Emory Healthcare; Georgia; Remote; USD 65,000 - 90,000; Full time

Job summary

Emory Healthcare is seeking a remote medical coder/auditor to ensure accurate coding and compliant documentation for professional services. You will review records, verify CPT/ICD-10/HCPCS coding, and collaborate with providers and compliance teams.

The role emphasizes audits, education, and ensuring appropriate reimbursement while maintaining HIPAA and CMS compliance. Candidates should have coding certification and relevant experience.

Qualifications

• High school diploma or equivalent (minimum requirement).
• Two years of post-secondary education in a business or medical-related field preferred.
• Two years of experience in medical billing or coding office required.
• Coding certification through a nationally recognized organization (e.g., AAPC or AHIMA) required.
• Familiarity with electronic health record (EHR) systems.

Responsibilities

• Ensure accuracy, completeness, and compliance of medical coding and documentation for professional coding services.
• Review patient records, clinical documentation, and coded data to identify discrepancies and coding issues.
• Collaborate 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 terminology

Coding accuracy

Attention to detail

Communication

Education

High school diploma

Two years post-secondary in business/medical

Coding certification

Tools

EHR systems

ICD-10

CPT

HCPCS

Job description

Emory Healthcare is seeking a remote medical coder/auditor to ensure accurate coding and compliant documentation for professional services. You will review records, verify CPT/ICD-10/HCPCS coding, and collaborate with providers and compliance teams.

The role emphasizes audits, education, and ensuring appropriate reimbursement while maintaining HIPAA and CMS compliance. Candidates should have coding certification and relevant experience.