Remote Medical Coding Auditor - Ensure Accurate Reimbursement

Emory Healthcare; Alabama; Remote; USD 55,000 - 75,000; Full time

Job summary

Emory Healthcare is seeking a remote Medical Coding Specialist to ensure the accuracy and compliance of professional coding services. You will review patient records, collaborate with providers and coders, and support accurate reimbursement while maintaining regulatory standards.

Responsibilities include chart reviews, auditing coding practices against ICD-10, CPT/HCPCS, and HIPAA guidelines, identifying discrepancies, and educating staff on coding improvements.

Qualifications

• Minimum of two years' experience in medical billing or coding.
• Certification in medical coding (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H) required.
• Strong knowledge of ICD-10, CPT, HCPCS and HIPAA regulations.
• Familiarity with EHR systems and coding audits.

Responsibilities

• 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.

Skills

Medical coding

Auditing

Chart review

HIPAA compliance

Regulatory knowledge

Education

High school diploma

Two years post-secondary in business or medical field

Medical coding certification (CCS-P/CPC/RHIA/RHIT/CCS/CPC-H)

Tools

EHR systems

Coding software

ICD-10 coding

Job description

Emory Healthcare is seeking a remote Medical Coding Specialist to ensure the accuracy and compliance of professional coding services. You will review patient records, collaborate with providers and coders, and support accurate reimbursement while maintaining regulatory standards.

Responsibilities include chart reviews, auditing coding practices against ICD-10, CPT/HCPCS, and HIPAA guidelines, identifying discrepancies, and educating staff on coding improvements.