Surgery Coding Auditor

Fidelity Partners Services

. Independently audit surgical and procedural 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

Use this summary to align your resume positioning with the role.

Demonstrates expertise in surgical and procedural coding accuracy, compliance, and documentation support, with a strong focus on ICD-10-CM, CPT, and HCPCS Level II coding standards. Proven ability to conduct audits with a minimum accuracy of 95 percent while providing education and training on coding practices.

Highest-signal resume keywords

ICD-10-CM ProficiencyCPT Coding ExpertiseActive RHIA/RHIT/CCS/CPC CredentialAudit Accuracy of 95 PercentEducation and Training Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Surgical CodingProcedural CodingDocumentation ComplianceReimbursement AnalysisCoding AuditsICD-10-PCS ProficiencyModifier AssignmentBundling AnalysisCorrect Coding Initiative KnowledgeFinancial Impact Assessment

Soft Skills

Communication SkillsAnalytical ThinkingAttention to DetailProblem-SolvingCollaboration

Tools & Technologies

Electronic Health Record SystemsAudit ToolsVA Privacy and Information-Security Protocols

Certifications & Qualifications

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

Industry Keywords

Compliance StandardsDocumentation SupportReimbursement ImpactTertiary-Care HospitalsOutpatient OrganizationsHealthcare Coding

About the role

Key responsibilities & impact

Independently audit surgical and procedural coding for accuracy, documentation support, compliance, and reimbursement impact
Evaluate ICD-10-CM, CPT, HCPCS Level II, modifier, global-package, and Correct Coding Initiative bundling assignments
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 on accuracy, documentation issues, financial impact, process improvement, and educational needs
Develop and deliver facility-specific coding education using actual findings and a train-the-trainer approach when assigned
Support exit conferences and explain coding findings, recommendations, and authoritative guidance
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
English-language proficiency; 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
Minimum audit accuracy of 95 percent
Ability to meet reporting and turnaround requirements
Current resume, 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