Senior Coding Quality Auditor

Indigenous Pact PBC, Inc.

. Report to the Compliance Department Lead and work directly with the Revenue Cycle Management team .

Posted 10/23/2026full-timeRemote • United StatesSenior💰 $100,000 - $140,000 per yearWebsite

About the role

Key responsibilities & impact

Report to the Compliance Department Lead and work directly with the Revenue Cycle Management team
Ensure coding compliance and accuracy of claim submissions
Serve as the resource for coding research and coding accuracy, explaining the rationale and authoritative sources behind coding decisions
Act as coding subject matter expert for Tribal Care programs and new service or business lines
Research complex and new ICD-10-CM, CPT, HCPCS, and modifier questions
Monitor code set updates, CMS changes, and payer policy changes, and communicate guidance to coders
Research and vet coding, documentation, and reimbursement requirements for Tribal Care offerings, specialty programs, state expansions, and tribal healthcare operations
Provide implementation guidance to coding, billing, and operational teams
Collaborate with Revenue Cycle, Compliance, and Operations leadership on payer arrangements, encounter reporting, alternative payment models, and tribal healthcare reimbursement frameworks
Maintain a coding reference library
Conduct prospective and retrospective coding audits, track coder accuracy, and identify error trends
Review audit findings, support corrective action plans and re-audits, and analyze coding-related denials for root causes
Support external audit responses
Participate in implementation and expansion projects, develop coding workflows, education materials, and documentation standards
Foster compliance, integrity, and confidentiality under HIPAA and 42 CFR Part 2
Perform other duties as assigned

Requirements

What you’ll need

Associate degree in Health Information Management or related field, or equivalent experience; bachelor’s degree preferred
Active coding credential required; CPMA preferred
Minimum of 5 years of coding experience, including 2 years of coding audits or quality reviews
Expert knowledge of official outpatient coding guidelines, NCCI, E/M rules, and outpatient payment methodologies
Strong research and auditing skills, with ability to document authoritative sources
Clear, tactful communication and experience training or leading coding staff
Knowledge of tribal healthcare reimbursement, encounter reporting requirements, and alternative payment models preferred
Expected working hours of 8:00am to 5:00pm
Ability to travel approximately 25% to Indigenous Pact work sites and clinic locations as needed
Ability to work in accordance with HIPAA and 42 CFR Part 2
Interest or demonstrated history of working closely with Indian Country and Tribal communities

Benefits

Comp & perks

PTO including vacation, wellness and 11+ company-paid holidays
401(k)
Medical insurance
Dental insurance
Vision insurance
Open, transparent lines of communication with leadership
Community and environmental impact initiatives
Development-focused environment with autonomy to drive your career path
Equal opportunity and inclusive, barrier-free work environment
Recruitment-process accommodations available