CODING COMPLIANCE AUDITOR (Remote)

Coding Compliance Specialist
This role is not as a traditional coder. This position is remote.
Daily responsibilities include:
Ensures compliance with official coding guidelines, CMS regulations, payer requirements, and internal IH policies.
Conducts comprehensive coding reviews/audits to identify errors, trends, and root causes impacting reimbursement, quality metrics, and compliance; includes internal/external audits, coding denials, CDI/Quality findings.
Provides coder feedback and coaching based on audit findings; prepares and distributes audit results and coding performance reports.
Creates and maintains educational materials, job aids, and coding guidance updates.
Develops and delivers coding education (both in-person and virtual). Supports onboarding and ongoing competency development for new and experienced coders.
Acts as a coding resource to other departments such as Case Management, CDI, and Insurance Authorization.
Ensures data reliability and appropriate reimbursement by maintaining current expertise in ICD-10-CM/PCS, CPT, and HCPCS conventions and CMS directives; actively participates in education.
Minimum Qualifications:

• 5 years coding experience in an acute care facility
• Expert-level knowledge of medical terminology, anatomy and physiology, ICD-10-CM/PCS, CPT, and HCPCS coding conventions, and CMS coding requirements
• Proficient in word processing and PC based spreadsheet program including Excel and PowerPoint
• Ability to research coding questions and use educational resources

Desired Qualifications:
~ Associate's degree

Infirmary Health