Senior Coding Quality & Compliance Auditor (Remote)

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

Benefits offered by this job

PTO: vacation, wellness & holidays

401(k) with company match

Medical, Dental, Vision insurance

Open, transparent leadership

Career development autonomy

Job summary

Indigenous Pact PBC, Inc. is seeking a Senior Coding Quality Auditor who will lead coding research, audits, and education within the Compliance Department.

This remote role requires about 25% travel to clinic locations in the Pacific Northwest, Wisconsin, and California to support coding quality and policy updates. You will review coding accuracy, respond to denials, and ensure alignment with tribal care programs and service launches.

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 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 Tribal Care service offerings and expansions, and provide implementation guidance to teams.
• Collaborate with Revenue Cycle, Compliance, and Operational leadership to evaluate coding impact of payer arrangements and reporting requirements.
• Work through complex coding questions with coders, sharing the research and rationale behind each answer, and maintain a coding reference library.

Skills

Outpatient coding

Auditing

NCCI

Communication/training

Education

Associate degree in Health Information Management or related field

CPMA credential

Bachelor’s degree preferred

Job description

Indigenous Pact PBC, Inc. is seeking a Senior Coding Quality Auditor who will lead coding research, audits, and education within the Compliance Department.

This remote role requires about 25% travel to clinic locations in the Pacific Northwest, Wisconsin, and California to support coding quality and policy updates. You will review coding accuracy, respond to denials, and ensure alignment with tribal care programs and service launches.