Remote Medical Coding Auditor & Compliance Specialist

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

Benefits offered by this job

Health benefits from day 1

Student loan repayment assistance

Family-focused benefits

Wellness incentives

Job summary

Emory Healthcare is seeking a remote Medical Coding Audit Specialist to ensure accurate coding and documentation for professional coding services. The role supports accurate reimbursement and regulatory compliance by reviewing patient records and collaborating with providers, coders, and compliance staff.

Responsibilities include conducting chart reviews, identifying discrepancies, and participating in audits to uphold high coding standards.

Qualifications

• High school diploma or equivalent required.
• 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; 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).

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.
• Support appropriate reimbursement and mitigate compliance risks through detailed coding reviews.
• Conduct comprehensive chart reviews to evaluate coding accuracy and documentation quality.
• Evaluate provider documentation to ensure appropriate coding and regulatory compliance.
• Participate in routine audits to maintain high standards of coding accuracy and compliance.
• Provide education and training to healthcare professionals regarding coding standards and documentation improvement.
• Analyze coding data to identify trends, opportunities for improvement, and compliance risks.
• Generate audit reports summarizing findings and recommendations.

Skills

Medical terminology

Coding accuracy

Regulatory compliance

Education

High school diploma or equivalent

Post-secondary education in business or medical-related field

Job description

Emory Healthcare is seeking a remote Medical Coding Audit Specialist to ensure accurate coding and documentation for professional coding services. The role supports accurate reimbursement and regulatory compliance by reviewing patient records and collaborating with providers, coders, and compliance staff.

Responsibilities include conducting chart reviews, identifying discrepancies, and participating in audits to uphold high coding standards.