Remote Medical Coding Auditor & Compliance Reviewer

Emory Healthcare; Salem (NH); A distancia; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Emory Healthcare seeks a Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review records, collaborate with providers, coders, and compliance staff to support accurate reimbursement.

You will conduct audits, educate clinicians on coding standards, track trends, and generate reports with recommendations to improve documentation quality and compliance. Remote work option available nationwide.

Formación

• High school diploma or equivalent is required.
• Two years of post-secondary education in a business or medical-related field preferred.
• Two years of experience in medical billing or coding required; medical management experience preferred.
• Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).
• Equivalent combinations of education and experience may be considered.
• 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

Coding knowledge

Communication skills

Regulatory compliance

Data analysis

Documentation accuracy

Educación

High school diploma or equivalent

Post-secondary education in business or medical field

Coding certification (AAPC/AHIMA)

Herramientas

EHR systems

Descripción del empleo

Emory Healthcare seeks a Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review records, collaborate with providers, coders, and compliance staff to support accurate reimbursement.

You will conduct audits, educate clinicians on coding standards, track trends, and generate reports with recommendations to improve documentation quality and compliance. Remote work option available nationwide.