Medical Coding Quality Auditor- Remote

Job Title:

• Quality Auditor – Multispecialty Medical Coding Department: Health Information Management / Revenue Integrity / Coding Quality Reports To: Coding Quality Manager or Director of Coding Compliance Employment Type: Full-time Location: Remote Company Description: Vee Healthtek, Inc. delivers cutting-edge solutions that transform healthcare organizations.
• We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients.
• Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes.
• Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes.
• Learn more at www.veehealthtek.com.

Position Summary:

• The Quality Auditor – Multispecialty Medical Coding is responsible for ensuring the accuracy, integrity, and compliance of medical coding across multiple specialties.
• This role performs comprehensive audits of inpatient, outpatient, and professional fee coding to verify alignment with official coding guidelines, payer requirements, and regulatory standards.
• The auditor provides actionable feedback and education to coding teams to improve quality, compliance, and reimbursement accuracy.

Key Responsibilities:

• Conduct routine and focused coding audits across multiple medical specialties (e.g., cardiology, orthopedics, general surgery, gastroenterology, radiology, internal medicine, etc.).
• Review CPT®, ICD-10-CM, and HCPCS Level II coding for accuracy, completeness, and compliance with CMS, OIG, and payer-specific rules.
• Evaluate medical record documentation to ensure accurate code assignment and adherence to medical necessity and coding guidelines.
• Identify trends, patterns, and recurring coding errors; collaborate with coders and leadership to implement corrective actions.
• Prepare detailed audit reports summarizing findings, accuracy rates, and recommendations for improvement.
• Provide one-on-one or group coder education and feedback based on audit outcomes.
• Assist in the development and maintenance of internal audit tools, policies, and training materials.
• Stay current on coding updates, compliance regulations, and industry best practices.
• Participate in internal compliance reviews and support external audits as needed.
• Contribute to process improvement initiatives that enhance coding quality and operational efficiency.

Qualifications:

• Education & Certification: Associate’s or Bachelor’s degree in Health Information Management, Health Administration, or a related field (preferred).

Active coding certification required:

• CPC, COC, or CCS (AAPC or AHIMA).
• CPMA (Certified Professional Medical Auditor) or equivalent auditing credential strongly preferred.
• Additional specialty credentials (e.g., CIRCC, CDEO, or CCS-P) are advantageous.

Experience:

• Minimum 5 years of experience in professional or facility coding across multiple specialties.
• Minimum 2 years of experience in coding auditing or quality review preferred.
• Strong understanding of CPT®, ICD-10-CM, and HCPCS Level II coding systems and payer guidelines.
• Experience with EHRs and coding/audit software tools (e.g., 3M, Epic, Optum, or similar).

Skills & Competencies:

• Exceptional attention to detail and analytical problem-solving ability.
• Strong knowledge of compliance standards (e.g., CMS, OIG, HIPAA).
• Excellent written and verbal communication skills, with the ability to convey complex coding concepts clearly.
• Ability to work independently while managing multiple priorities and deadlines.
• Commitment to maintaining confidentiality and ethical auditing practices.

Performance Indicators:

• Coding accuracy rate improvement Timeliness of audit completion Effectiveness of feedback and coder education Compliance with internal and regulatory standards Salary: $28.85- $36.06/hour depending on experience.
• This position is eligible for full health insurance including medical/dental/vision, PTO, and a 401k match! Powered by JazzHR