Remote Medical Coding Auditor & Compliance Reviewer

Emory Healthcare; Oregon; Híbrido; USD 60.000 - 90.000; Jornada completa

Descripción de la vacante

Emory Healthcare in the United States is seeking a skilled medical coder to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review patient records, collaborate with clinicians and coding teams to align documentation with ICD-10, CPT, HCPCS standards.

This remote role requires knowledge of coding guidelines, audits, and ongoing education to stay current. You will contribute to compliant reimbursement and participate in audits and training to

Formación

• High school diploma or equivalent required.
• Two years 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.
• Familiarity with electronic health record (EHR) systems preferred.

Responsabilidades

• 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.

Conocimientos

Medical terminology

Coding awareness

Regulatory compliance

Attention to detail

Strong communication

Educación

High school diploma or equivalent

Post-secondary education in business/medical field

Herramientas

EHR systems

Descripción del empleo

Emory Healthcare in the United States is seeking a skilled medical coder to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review patient records, collaborate with clinicians and coding teams to align documentation with ICD-10, CPT, HCPCS standards.

This remote role requires knowledge of coding guidelines, audits, and ongoing education to stay current. You will contribute to compliant reimbursement and participate in audits and training to