Medical Coding Auditor / Coding Validation Reviewer

📋 Description

• Conduct independent external audits of coded medical records, covering inpatient facility/DRG
• Review up to the first 25 diagnoses and 25 procedures on each applicable record for both facility
• Help develop statistically valid audit samples targeting a 95% confidence level and a minimum of
• Review facility-specific HIMS policies and coding procedures before beginning each audit.
• Identify and classify coding, diagnosis, modifier, documentation, and compliance errors, supporting
• Prepare facility-level audit reports addressing coding accuracy, financial impact, significant

🎯 Requirements

• Hold an active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential.
• Have at least 3 years of coding experience, including experience consulting on medical record
• Have at least 3 years of education and training experience, such as educating coders, providers, or
• Demonstrate expert knowledge of ICD-10-CM/PCS, CPT, HCPCS, DRG/MS-DRG, APC, E/M, and NCCI edits.
• Have completed an accredited coding, Health Information Management, or Health Information
• Provide two current client references able to speak to previous audit work, along with proof of

🎁 Benefits

• $25.00–$30.00 per hour.
• 100% remote position available to candidates in the United States.
• Initial 12-month term, with four potential additional 12-month option periods.
• Opportunity to support VA medical centers across Georgia, Alabama, and South Carolina.
• Work focused on improving coding accuracy, compliance, education, and healthcare data quality for
• Approved business travel reimbursed in accordance with federal travel regulations.