Remote-Ready Medical Coder & Multi-State Audit Expert

Dane Street; Houston, Northern (TX, KY); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Voluntary life insurance

Hospital indemnity

Critical illness

Accident indemnity

Pet insurance

401k with company match

Remote workspace stipend

Apple equipment

Job summary

Dane Street is seeking an experienced CPC-certified medical coder with multi-state experience to perform audits, utilization reviews, and provide litigation support as needed. The role requires reviewing records across multiple states and payer environments.

The ideal candidate has 5–7 years of coding experience, strong CMS regulation knowledge, and prior demand package review or litigation support experience. Remote workspace is available along with a comprehensive benefits package.

Qualifications

• Must hold CPC certification with AAPC
• CPMA strongly preferred
• Minimum 5–7 years of professional coding experience
• Experience auditing across multiple states and payer environments
• Strong knowledge of CMS regulations and state Medicaid variations
• Experience with Medicare, Medicare Advantage, and commercial payer audits
• Prior demand package review or litigation support experience required
• Deposition and/or expert testimony history preferred
• Excellent written reporting and analytical skills
• Ability to work independently and meet strict deadlines
• Part-time capable; review policies and payer rules across jurisdictions

Responsibilities

• Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)
• Conduct utilization reviews to assess medical necessity and documentation compliance
• Review demand package components for personal injury and insurance cases
• Analyze medical records for payer disputes, recoupments, and appeals
• Prepare detailed, defensible audit reports
• Provide expert review, affidavit support, deposition preparation, and testimony as required
• Interpret CMS guidelines, LCD/NCD policies, and state Medicaid/payer rules
• Review E/M services under 2021+ guidelines
• Identify compliance risks and documentation deficiencies

Skills

CPC certification

CPMA preferred

Multi-state audits

Audits or utilization reviews

CMS regulations knowledge

Medicare/MA/commercial audits

DPR/litigation support

Deposition/testimony experience

Reporting & analysis

Independent work ethic

Part-time capable

Job description

Dane Street is seeking an experienced CPC-certified medical coder with multi-state experience to perform audits, utilization reviews, and provide litigation support as needed. The role requires reviewing records across multiple states and payer environments.

The ideal candidate has 5–7 years of coding experience, strong CMS regulation knowledge, and prior demand package review or litigation support experience. Remote workspace is available along with a comprehensive benefits package.