Medical Coding Auditor - REMOTE at Jobgether – United States

Medical Coding Auditor - REMOTE

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Coding Auditor. This role is crucial in ensuring the accuracy and appropriateness of medical coding on claims submitted against medical records. The Medical Coding Auditor will play a significant role in cost reduction by enhancing the precision of provider contract payments and ensuring correct claims payments for CPT/HCPCS code assignments. The candidate will often need to make independent decisions and will have the opportunity to contribute to quality improvement initiatives. You will work in a collaborative environment that prioritizes healthcare and compliance.Accountabilities

• Verify and ensure the accuracy of procedure codes based on services rendered
• Review medical documentation for clinical indicators to ensure compliance with coding guidelines
• Utilize encoders and various coding resources effectively
• Conduct peer reviews to ensure adherence to coding standards and provide necessary reports
• Maintain strict patient and physician confidentiality
• Keep current with ICD-10 and CPT coding guidelines and government regulations
• Participate in process improvement initiatives

Requirements

• CPC, COC, CCS, ROCC, RHIA, or RHIT Certification with at least 3 years of experience post-certification
• Strong knowledge of CPT/HCPCS coding and outpatient specialty surgeries
• Ability to interpret operative reports for coding
• Experience in chemotherapy/therapeutic infusion coding
• Proven ability to exercise judgment and manage workload independently
• Attention to detail and strong communication skills
• Proficiency in Microsoft Office Programs (Word, Excel)

Benefits

• Remote work opportunity with flexible hours
• Access to professional development and continuing education
• Comprehensive medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off, holidays, and volunteer time off
• Short-term and long-term disability coverage
• Life insurance and additional wellness programs

Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1