Remote Medical Coding Auditor & Educator

Holy Cross Health; Silver Spring (MD); Remote; USD 39,000 - 59,000; Full time

Benefits offered by this job

Tuition reimbursement

Free parking

Employee discounts

Flexible work schedules

Job summary

Holy Cross Health is seeking a Coding Auditor and Educator to perform medical record audits, validate diagnoses and procedures, and ensure proper coding under CMS guidelines. This role emphasizes auditor education and collaboration with providers to improve documentation accuracy.

Requires CPC or RHIT accreditation, strong ICD-10/CPT knowledge, and 2–5 years coding experience. Remote work options available with competitive pay and benefits.

Qualifications

• High school diploma or equivalent combination of education and experience.
• Certified Professional Coder or Registered Health Information Technician accreditation required.
• Minimum of 2-5 years of professional coding experience with ICD-10, CPT, and HCPCs modifiers; knowledge of Medicare/Medicaid rules.
• 3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience preferred.

Responsibilities

• Monitors accuracy of centralized coders’ charge capture and coding with ICD-10, CPT, and modifiers; adheres to CMS guidelines.
• Partners with leadership to improve HCC and high-risk scoring with provider and coder education.
• Conducts ongoing reviews of patient medical record documentation and coding by practitioners.
• Educates practitioners in coding, documentation, and compliance.
• Works with leadership to establish and modify CDM methodology and pricing models for accuracy and regulatory compliance.
• Reports to the Manager, Provider Revenue Operations.

Skills

Communication skills

Teamwork

Confidentiality

ICD-10/CPT knowledge

Education

Certified Professional Coder (CPC) or RHIT

High school diploma or equivalent

Job description

Holy Cross Health is seeking a Coding Auditor and Educator to perform medical record audits, validate diagnoses and procedures, and ensure proper coding under CMS guidelines. This role emphasizes auditor education and collaboration with providers to improve documentation accuracy.

Requires CPC or RHIT accreditation, strong ICD-10/CPT knowledge, and 2–5 years coding experience. Remote work options available with competitive pay and benefits.