Remote Medical Coding Auditor & Compliance Reviewer

Emory Healthcare; Manchester (NH); Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health benefits from day 1

Student loan repayment programs

Family benefits

Wellness incentives

Mentorship & leadership programs

Job summary

Emory Healthcare is seeking a detail-oriented Medical Coding Auditor to ensure accuracy and compliance of professional coding services. You will review records, collaborate with clinicians, and support reimbursement and regulatory compliance.

Responsibilities include audits, chart reviews, education for staff on coding standards, and generating reports to identify improvement opportunities. Remote role with eligibility limited to states listed.

Qualifications

• High school diploma or equivalent.
• 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.
• Equivalent combinations of education and experience may be considered.
• Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).
• Minimum of two years of experience working in a medical billing, coding, or healthcare revenue cycle environment preferred.
• Experience with medical coding, auditing, or chart review in a healthcare setting preferred.
• Familiarity with electronic health record (EHR) systems preferred.

Responsibilities

• 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.

Skills

Medical terminology

Verbal communication

Regulatory compliance

Documentation accuracy

Data analysis

Education

Post-secondary education in business or medical field

High school diploma or equivalent

Tools

EHR systems

Job description

Emory Healthcare is seeking a detail-oriented Medical Coding Auditor to ensure accuracy and compliance of professional coding services. You will review records, collaborate with clinicians, and support reimbursement and regulatory compliance.

Responsibilities include audits, chart reviews, education for staff on coding standards, and generating reports to identify improvement opportunities. Remote role with eligibility limited to states listed.