Remote Compliance Auditor (Medical Coding/Billing)
Description
Remote Compliance Auditor (Medical Coding/Billing) Job Description
Introduction: Elevate Healthcare Standards from Anywhere
Are you passionate about ensuring healthcare billing accuracy while working remotely? We are looking for a Remote Compliance Auditor with specialized experience in medical coding and billing to support healthcare providers in maintaining ethical and accurate documentation. This role plays a vital part in protecting patient rights, ensuring claim compliance, and strengthening the integrity of healthcare revenue cycles.
Join a role that demands attention to detail, integrity, and the ability to independently audit across various medical specialties—all from the comfort of your home. With an annual salary of $68,410, this position offers a stable and fulfilling career for experienced auditors who value autonomy and purpose.
Key Responsibilities: Precision in Every Detail
- Conduct retrospective and concurrent audits on coded clinical documentation to assess billing and coding accuracy
- Review inpatient and outpatient claims for compliance with CPT, ICD-10, and HCPCS coding guidelines
- Analyze documentation for proper code assignment and medical necessity
- Identify billing discrepancies and report potential issues or compliance risks
- Prepare detailed audit reports highlighting findings and recommendations
- Collaborate with coding professionals and clinical staff to resolve errors
- Ensure all audits align with federal regulations and payer-specific guidelines
- Maintain an updated knowledge of evolving payer policies and industry standards
Work Environment: Fully Remote, Fully Empowered
- 100% remote position—no commuting or office distractions
- Structured weekly audit assignments with flexible completion timelines
- Virtual communication with peers, coders, and providers
- Digital collaboration tools streamline workflow and data exchange
- A responsive leadership team supports independence in daily task management
- Stable work structure promoting focus and work-life balance
Tools & Technology: Your Digital Audit Toolkit
- Access to secure cloud-based audit software
- Utilization of Electronic Health Records (EHR) systems such as Epic, Cerner, or Meditech
- Standard coding platforms and compliance libraries (e.g., EncoderPro, SuperCoder)
- Productivity tracking through audit dashboards and workflow management platforms
- Communication via HIPAA-compliant chat and video conferencing tools
- Training support for software updates and compliance protocol changes
Required Qualifications: What You Bring to the Table
- At least three years of hands-on experience in healthcare-related coding, auditing, and billing coding audits
- Certification(s) required: CPC, CPMA, RHIA, or CCS
- Proficient in applying CPT, ICD-10, and HCPCS Level II codes
- In-depth knowledge of healthcare compliance standards (e.g., OIG, CMS, HIPAA)
- Exceptional critical thinking abilities with a sharp attention to inconsistencies
- Skilled in drafting concise, well-structured written audit findings with clarity and precision, and audit summaries
- Self-motivated and capable of prioritizing tasks independently
- Reliable internet connection and a secure, private home office setup
Ideal Candidate Profile: The Difference-Maker
You’re not just reviewing codes—you’re safeguarding clinical integrity. You excel in interpreting documentation and spotting inconsistencies others may overlook. Your proactive mindset, paired with ethical judgment and technical expertise, helps providers stay compliant and improve patient outcomes. You thrive in a remote role where your decisions immediately impact a broader healthcare network.
Career Impact & Growth: Where Accuracy Meets Opportunity
This role opens the door to long-term advancement in compliance auditing, coding education, and healthcare consulting. You'll refine your expertise across multiple specialties and gain access to leadership pathways in audit program development or compliance training. Every audit you complete contributes to a more transparent, accountable healthcare system.
Benefits Snapshot: Work That Works for You
- Annual salary of $68,410
- Flexible hours with defined weekly deliverables
- Remote-first company culture
- Ongoing training in medical coding compliance and audit methodologies
- Paid professional development and certification renewals
- Opportunities to work on high-impact healthcare reform projects
- An inclusive environment promoting ethical leadership and continued learning
Ready to Make a Difference? Apply Now!
Use your expertise to influence meaningful change in healthcare compliance—without ever leaving your home.
Apply now and become a cornerstone of quality, accuracy, and integrity in healthcare auditing.