Coding Quality Auditor

This position requires candidates to live in the following states: Illinois, Wisconsin, Iowa, Missouri, Florida, Ohio, Michigan, Indiana.

We are seeking a detail-oriented and energetic Coding Quality Auditor to join our healthcare compliance team. In this role, you will ensure the accuracy, completeness, and compliance of medical coding and billing processes. Your expertise will help maintain the integrity of medical records, optimize reimbursement processes, and uphold industry standards.

Duties include reviewing and auditing medical records to verify correct application of coding standards such as DRG, CPT, ICD-9, ICD-10, and ICD coding systems; ensuring documentation supports accurate reimbursement; identifying discrepancies in coding, billing, and documentation; collaborating with medical billers, coders, and healthcare providers to resolve issues; maintaining audit logs and reports; staying updated on regulatory guidelines; and assisting in training staff on coding procedures and documentation standards.

Required skills include strong knowledge of coding systems (DRG, CPT, ICD-9, ICD-10), experience in medical billing and records management, familiarity with EMR/EHR platforms, excellent understanding of medical terminology, and strong organizational skills. Experience with medical collections is a plus.

Candidates must have RHIT, RHIA, or CCS certification or be a Certified Clinical Documentation Specialist (CDIP certification also considered). A Bachelor's degree in a healthcare-related field is preferred; currently enrolled candidates will also be considered.

Pay rate is $40 to $59 per hour with benefits including 401(k) and matching, dental, health, vision, and life insurance, flexible schedule, flexible spending and health savings accounts, paid time off, and referral program.

This is a remote position but candidates must reside in specified states.