Certified Coding Compliance Auditor

To ensure compliance and accurate reimbursement, the full-time remote Certified Coding Compliance Auditor will audit hospital inpatient, ambulatory surgery, and observation visits, serving as a clinical coding subject matter expert while providing training and support to coding specialists. Key responsibilities Conduct audits of ICD-10 diagnostic and CPT-4 procedure codes for various patient encounters to ensure compliance with federal and state regulations Serve as an advisor and educator for Coding Specialists, facilitating communication between clinical documentation and coding teams Monitor and report on coding quality and productivity rates for coders, conducting specialized audits as necessary Required qualifications High School diploma or equivalent with formal training in ICD-10-CM, ICD-10-PCS, and CPT-4 coding Minimum of two years of ICD-10-CM/ICD-10-PCS coding experience in a Level 1 Trauma hospital or four years of inpatient coding experience Two to three years of ambulatory coding experience Certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Inpatient Coder (CIC)