Remote Medical Coding Auditor - Detail-Driven & Compliant

Healthcare Fraud Shield; Chesterfield (MO); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

401(k) with employer match

Vacation and sick paid time off

7 paid holidays & 2 floating holidays

Paid maternity/paternity leave

Disability & Life insurance

Flexible Spending Account (FSA)

Employee Assistance Program (EAP)

Professional and career development

Job summary

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail.

The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment.

Qualifications

• Knowledge of medical terminology and coding practices.
• Proficiency with CPT, HCPCS, Revenue Codes, DRG, and ICD-10.
• Ability to meet defined performance and production goals.
• Attention to detail and accuracy in audits.
• Understanding of privacy and security policies.

Responsibilities

• Compare procedures and codes billed on a claim to the medical record.
• Assess claims to determine billable services and reimbursement.
• Determine appropriateness of billing and reimbursement as needed.
• Document findings for each claim line in a spreadsheet.
• Summarize findings in a written report.
• Abstract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from records.
• Maintain current knowledge of coding guidelines and regulations.
• Adhere to privacy and security standards.
• Handle 5–10 claim line reviews per hour on average.
• Perform other duties as needed.

Skills

Medical terminology

Coding knowledge

Detail oriented

Communication skills

Regulatory compliance

Performance goals

Education

CPC

CCS

CCA

Job description

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail.

The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment.