Senior Medical Auditor - Remote Compliance & Coding Expert

healthcare; Maplewood (MN); Remote; USD 84,000 - 115,000; Full time

Job summary

Solventum, a leader in healthcare solutions, seeks a Senior Medical Auditor to perform pro-fee and facility audits, ensure coding guideline compliance, and deliver insightful audit reports for clients remotely across the United States.

The role requires strong experience in ICD-10-CM/PCS and CPT/HCPCS, along with AHIMA/AAPC certifications, to educate vendors and support internal teams while upholding HIPAA standards.

Qualifications

• Three years combined experience with professional fee/Facility auditing and/or coding in ICD-10-CM, PCS, and CPT/HCPCS.
• AAPC and/or AHIMA certification (eg, CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, CIRCC).
• One year of ICD-10 trained and proficient

Responsibilities

• Perform monthly, quarterly pro-fee and/or facility E/M, Surgery, IR/VIR coding audits for clients.
• Conduct retrospective audits on vendor coders and individual clients for Quality Assurance.
• Perform educational sessions to vendors and clients based on audit results.
• Ensure vendor and client compliance with official coding guidelines.
• Create audit reports and summaries for clients in accordance with policies and procedures.
• Create and maintain auditing schedules.
• Support and educate internal coding team.
• Maintain strict HIPAA compliance and follow all state and federal guidelines for release of information

Skills

HIPAA compliance

Education

Bachelor’s Degree or higher

High School Diploma/GED

Tools

Microsoft Excel

Microsoft Teams

Microsoft Word

Job description

Solventum, a leader in healthcare solutions, seeks a Senior Medical Auditor to perform pro-fee and facility audits, ensure coding guideline compliance, and deliver insightful audit reports for clients remotely across the United States.

The role requires strong experience in ICD-10-CM/PCS and CPT/HCPCS, along with AHIMA/AAPC certifications, to educate vendors and support internal teams while upholding HIPAA standards.