Coding Quality Reviewer and Educator-3

📋 Description

• Perform prospective and retrospective audits of professional coding and medical records, validating
• Evaluate clinical documentation to confirm that billed services are supported, medically necessary
• Review coder- and provider-selected codes and document findings, variances, and supporting
• Apply compliant, non-leading audit methodologies consistent with applicable ACDIS and AHIMA
• Identify root causes of coding and documentation discrepancies and collaborate with leadership on
• Develop and deliver targeted education for coders, providers, and clinical departments based on

🎯 Requirements

• High school diploma or equivalent required.
• At least five years of professional coding experience, preferably within a large academic medical
• Prior coding audit experience strongly preferred.
• Prior experience educating providers and/or coding professionals strongly preferred.
• One or more of the following certifications required: CPC through AAPC, or CCS/CCS-P through AHIMA.
• Specialty certification relevant to the assigned area required within one year of hire, where

🎁 Benefits

• Fully remote work arrangement.
• Monday–Friday daytime schedule with 8-hour workdays.
• Salary range of $67,724.80–$111,716.80.
• Comprehensive healthcare and employee benefits offered as part of the overall compensation package.
• Opportunity to work in a multidisciplinary healthcare environment supporting coding quality
• Independent subject matter expert role with opportunities to contribute to education and continuous