Remote Professional Coding Auditor

Emory Healthcare Inc; United States; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health benefits day 1

Student loan assistance

Mentorship programs

Job summary

Emory Healthcare Inc is seeking a remote Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review patient records, collaborate with clinicians and coding teams, and support appropriate reimbursement through detailed coding reviews.

Responsibilities include audits against ICD-10, CPT, HCPCS, and HIPAA standards, plus education and training to healthcare professionals to improve documentation quality and coding accuracy.

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.
• Coding certification through a nationally recognized organization (AAPC/AHIMA) required.

Responsibilities

• Reviews patient records and coding data to identify discrepancies.
• Conducts audits to verify ICD-10, CPT, HCPCS compliance.
• Educates healthcare professionals on coding standards and documentation.
• Prepares audit reports with findings and recommendations.

Skills

Anatomy

Auditing

CCS Certification

CPT

HCPCS

ICD-10

Documentation

Regulatory compliance

HIPAA

Medical Billing

Medical Coding

RHIA

RHIT

Data Analysis

Leadership

Training

Mentoring

Education

High school diploma

Post-secondary education in medical field

Coding certification (AAPC/AHIMA)

Tools

EHR systems

CMS

Job description

Overview

Be inspired. Be valued. Belong. At Emory Healthcare

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, leadership programs
• And more

LOCATION

Remote

This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin

Description

This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. The role supports accurate coding practices, appropriate reimbursement, and regulatory compliance by reviewing patient records and collaborating with healthcare providers, coding teams, and compliance staff.

RESPONSIBILITIES

• 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.

AUDIT AND REVIEW

• Conducts regular audits of medical coding to verify accuracy, completeness, and compliance with ICD-10, CPT, HCPCS, and other coding systems. Evaluates coding practices against payer guidelines, regulatory requirements, and internal organizational policies.

COMPLIANCE MONITORING

• Ensures adherence to federal and state regulations including CMS guidelines and HIPAA standards. Identifies discrepancies or violations and recommends corrective actions.

REPORTING AND DOCUMENTATION

• Prepares detailed audit reports outlining findings, trends, and recommendations for improvement. Documents audit procedures, results, and issues in a clear and organized manner.

STAY CURRENT

• Maintains up-to-date knowledge of coding guidelines, healthcare regulations, and industry best practices. Participates in relevant workshops, seminars, and continuing education programs as required.

MINIMUM 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 a medical billing or coding office required; medical management experience preferred. Equivalent combinations of education and experience may be considered. Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).
• Minimum of two years of experience working in a medical billing, coding, or healthcare revenue cycle environment preferred. Experience with medical coding, auditing, or chart review in a healthcare setting preferred. Familiarity with electronic health record (EHR) systems preferred.

KNOWLEDGE, SKILLS, AND ABILITIES

• Strong knowledge of medical terminology, anatomy, and coding systems. Strong written and verbal communication skills. Thorough understanding of healthcare regulations and compliance standards. Excellent attention to detail and accuracy in documentation review. Ability to analyze coding data and identify discrepancies or improvement opportunities.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at [e-mail]. Please note that one week''s advance notice is preferred.

Remote

Skills

Anatomy, Auditing, Best Practices, Certified Coding Specialist (CCS), Clinical Study Publications, Code Reviews, Coding Standards, Communication Skills, Computer Programming, Content Management Systems (CMS), Corrective Action, Current Procedural Terminology (CPT), Data Analysis, Detail Oriented, Documentation, Documentation Review, Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Education, Health Plan, Healthcare, Healthcare Common Procedure Coding System (HCPCS), Healthcare Providers, Healthcare Reimbursement, High School Diploma, ICD-10, Leadership, Maintain Compliance, Medical Billing, Medical Coding, Medical Record System, Medical Records, Medical Terminology, Mentoring, Presentation/Verbal Skills, Professional Services, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Regulations, Regulatory Compliance, Regulatory Requirements, Reimbursement, Reporting Skills, Risk Management, State Laws and Regulations, Student Loans, Systems Analysis, Training/Teaching, Trend Analysis, Writing Skills

Emory Healthcare Inc