Professional Fee Coding Auditor

Fidelity Partners Services

. Independently audit inpatient and outpatient professional-fee coding for accuracy, documentation support, compliance, and reimbursement impact .

Posted 9/28/2026full-timeRemote • United StatesMid-LevelSenior💰 $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in auditing inpatient and outpatient professional-fee coding, ensuring compliance with ICD-10-CM, CPT, and HCPCS Level II standards. Capable of delivering facility-specific coding education and maintaining high audit accuracy while adhering to privacy and information security protocols.

Highest-signal resume keywords

ICD-10-CM ProficiencyCPT Coding ExpertiseActive RHIA/RHIT/CCS/CPC CredentialAudit Accuracy MaintenanceConsultant Experience in Tertiary-Care Hospitals

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Professional-Fee Coding AuditDocumentation Support EvaluationModifier and Bundling AssignmentFinancial Impact AnalysisRisk AssessmentCoding Compliance ReviewElectronic Health Record ReviewAudit Tool UtilizationTraining and Education DevelopmentReporting and Documentation

Soft Skills

Communication SkillsAnalytical ThinkingAttention to DetailCollaboration with LeadershipProblem-Solving

Tools & Technologies

Electronic Health Record SystemsAudit ToolsCoding Software

Certifications & Qualifications

Active RHIA CredentialActive RHIT CredentialActive CCS CredentialActive CCS-P CredentialActive CPC CredentialActive CPC-H Credential

Industry Keywords

ICD-10-CMCPTHCPCS Level IIReimbursement ImpactCompliance StandardsDocumentation RequirementsTertiary-Care HospitalsOutpatient OrganizationsVA Privacy RegulationsInformation Security

About the role

Key responsibilities & impact

Independently audit inpatient and outpatient professional-fee coding for accuracy, documentation support, compliance, and reimbursement impact
Evaluate ICD-10-CM, CPT, HCPCS Level II, evaluation and management, modifier, professional-component, and bundling assignments
Verify provider information, scope of practice, billability, and documentation support for reported professional services
Identify incorrect, missing, unbundled, upcoded, downcoded, unsupported, or otherwise noncompliant codes and modifiers
Review diagnoses and procedures in the electronic health record and approved audit tools using established sampling requirements
Document findings with supporting authority, financial impact, risk, and recommended corrective action
Maintain audit accuracy of at least 95 percent and participate in calibration processes
Contribute to audit work plans, collection tools, facility reports, consolidated reports, and progress updates
Review preliminary findings with HIMS leadership, the COR, management, and designated facility personnel
Prepare or support final reports addressing accuracy, documentation issues, financial impact, process improvement, and educational needs
Develop and deliver facility-specific coding education and support exit conferences
Protect VA information and follow privacy, information-security, encryption, and remote-work requirements
Meet assigned audit schedules, reporting deadlines, training requirements, credential requirements, and access requirements

Requirements

What you’ll need

U.S. citizenship
Ability to read, write, speak, and understand English
Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential
At least two years of coding experience in the applicable coding area
At least three years of consultant experience reviewing records in large tertiary-care hospitals and outpatient organizations with primary care and subspecialty services
At least three years of education and training experience
Proficiency with ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRG, modifier, bundling, reimbursement, documentation, and compliance requirements
Successful completion of the Low Risk NACI background process
Completion of required VA privacy, information-security, and mandatory training
Ability to work securely within the United States
Ability to maintain audit accuracy of at least 95 percent
Ability to meet reporting and turnaround requirements
Current resume documenting required coding, consultant record-review, and education or training experience
Signed Letter of Intent and completed candidate cover page
Proof of an active accepted AHIMA or AAPC credential
Two current client references specific to the individual reviewer
OIG exclusion search results and requested background, security, identification, privacy, training, or onboarding documents

Benefits

Comp & perks

Competitive salaries and benefits packages
Fully remote work arrangement within the United States
Remote schedules aligned with assignment requirements
Approved equipment, software, encoder tools, internet connectivity, reference resources, and secure workspace for remote work