Lead, Coding Quality

. Direct the day-to-day work of a small team of coding quality specialists conducting internal hospital and physician provider auditing .

Posted 9/25/2026full-timeRemote • United StatesSeniorWebsite

Key responsibilities & impact

Direct the day-to-day work of a small team of coding quality specialists conducting internal hospital and physician provider auditing
Audit and code facility inpatient, emergency room, outpatient surgery, observation, ancillary, recurring therapy, clinic, professional, and billing/coding edit resolution services
Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and Level I and II modifiers
Work with facility-specific and state billing and coding guidelines and Medicare Administrative Contractors nationwide
Collaborate with the Coding Department on coding audits and training
Assign tasks, ensure deadlines are met, and mentor and train staff on quality and compliance
Ensure compliance with departmental standards and coding practices
Monitor team efficiency and performance expectations
Conduct code reviews to assess quality, compliance, and risk
Identify coding issues and recommend corrective actions
Communicate audit findings to staff and management
Maintain detailed records of audits and outcomes
Audit the work of aligned team members and perform auditing and coding as an individual responsibility
Follow AHIMA ethical coding standards, the company Code of Ethics and Business Conduct, privacy and security rules, and internal policies

What you’ll need

3+ years of production coding experience, including hospital and/or physician practice, inpatient coding, and prior auditing experience
Must hold one of: Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS)
Must be certified through AAPC (CPC or COC) or AHIMA (CCS or CCS-P)
Understanding of healthcare billing practices and compliant claims preparation for governmental and commercial payers
Regular, predictable, and punctual attendance
Working knowledge and experience with EMR and billing systems
Phone, reliable internet connection, and current CPT and ICD-10-CM coding references
Maintain ongoing productivity and accuracy of 95% or higher
Maintain quality score of 95% or higher
Proficiency in Microsoft Excel and Outlook
Ability to communicate effectively and professionally verbally and in writing
Ability to coordinate, analyze, observe, make decisions, and meet deadlines
Demonstrated ability to lead and direct the work of others
Ability to work at a computer terminal for 6–8 hours per day
Ability to lift and move material weighing up to 20 lbs. infrequently

Comp & perks