Remote Senior Coding Quality Auditor (25% Travel)

Indigenous Pact PBC, Inc.; Sacramento (CA); Remote; USD 100,000 - 140,000; Full time

Benefits offered by this job

401(k)

Medical, Dental, Vision insurance

PTO including holidays

Autonomy to drive career path

Job summary

Indigenous Pact PBC, Inc. seeks a Senior Coding Quality Auditor to ensure coding accuracy and compliance across Tribal Care programs.

The role collaborates with the Revenue Cycle Management team to review coding quality, research complex requirements, and provide authoritative guidance to coders. The position involves remote work with approximately 25% travel to clinic locations, and requires an experienced auditor with knowledge of ICD-10-CM, CPT, and HCPCS, plus strong communication skills to

Qualifications

• Expert knowledge of official outpatient coding guidelines, NCCI, E/M rules, and outpatient payment methodologies.
• Strong research and auditing skills, with the ability to document authoritative sources.
• Knowledge of tribal healthcare reimbursement, encounter reporting requirements, and alternative payment models preferred.
• Clear, tactful communication and experience training or leading coding staff.

Responsibilities

• Research complex and new ICD-10-CM, CPT, HCPCS, and modifier questions using authoritative sources.
• Monitor code set updates and CMS and payer policy changes, and communicate clear guidance to coders.
• Research and vet coding, documentation, and reimbursement requirements for Indigenous Pact’s Tribal Care service offerings, specialty programs, state expansions, and tribal healthcare operations, as well as any other service line or business line Indigenous Pact decides to pursue, and provide implementation guidance to coding, billing, and operational teams.
• Collaborate with Revenue Cycle, Compliance, and Operational leadership to evaluate the coding impact of new payer arrangements, encounter reporting requirements, alternative payment models, and tribal healthcare reimbursement frameworks.
• Work through complex coding questions with coders, sharing the research and rationale behind each answer, and maintain a coding reference library.

Skills

ICD-10-CM knowledge

CPT knowledge

Audit skills

Collaboration

Education

Associate degree in Health Information Management

Job description

Indigenous Pact PBC, Inc. seeks a Senior Coding Quality Auditor to ensure coding accuracy and compliance across Tribal Care programs.

The role collaborates with the Revenue Cycle Management team to review coding quality, research complex requirements, and provide authoritative guidance to coders. The position involves remote work with approximately 25% travel to clinic locations, and requires an experienced auditor with knowledge of ICD-10-CM, CPT, and HCPCS, plus strong communication skills to