Coding Auditor

Healthcare Fraud Shield

. Execute routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, and Revenue codes .

Posted 10/9/2026full-timeRemote • Missouri • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding and billing, including proficiency in ICD-10, CPT, HCPCS, and Revenue Codes. Maintains compliance with federal and state regulations while ensuring the accuracy of health records and billing processes.

Highest-signal resume keywords

Certified Professional CoderICD-10 CodingCPT CodingHCPCS CodingDetail Oriented

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical TerminologyRevenue CodesDRG CodesInvestigative ExperienceClaim Line Reviews

Soft Skills

Effective CommunicationStrong Listening Skills

Tools & Technologies

Spreadsheet Software

Certifications & Qualifications

CPCCCSCCA

Industry Keywords

Billing CompliancePrivacy StandardsSecure Information ManagementPerformance GoalsSpecialty Medical Practices

About the role

Key responsibilities & impact

Execute routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, and Revenue codes
Compare procedures and codes billed on claims to medical records
Compare claim information to determine the amount and nature of billable services
Determine appropriateness of billing and reimbursement
Document findings for each claim line in a spreadsheet
Summarize findings in written reports
Abstract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records
Maintain current knowledge of coding guidelines and relevant federal and/or state regulations
Comply with company Privacy and Security standards
Protect confidential health information in accordance with applicable law
Complete a minimum average of 5–10 claim line reviews per hour
Perform other duties as needed

Requirements

What you’ll need

Certified professional coder
Minimum of one year of investigative experience is required
Required to have one of the following: CPC, CCS, CCA
Knowledge of medical terminology
Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
Knowledge of specialty medical practices
Must be detail oriented
Ability to communicate effectively both verbally and in writing
Strong listening skills
Ability to meet defined performance and production goals
Strong computer skills
Ongoing discretion and secure information management when accessing confidential and sensitive information
Must have high speed Internet; satellite is not allowed, with a minimum speed of 25mbs download and 5mbs upload

Benefits

Comp & perks

Medical, Dental & Vision insurance
401(k) retirement savings with employer match
Vacation and sick paid time off
7 paid holidays & 2 floating holidays
Paid maternity/paternity leave
Disability & Life insurance
Flexible Spending Account (FSA)
Employee Assistance Program (EAP)
Professional and career development initiatives
Remote work eligible