Medical Coding Compliance Auditor

VMG Health

. Provide auditing, compliance, education, consulting, project management, and report writing services to healthcare clients .

Posted 10/13/2026full-timeRemote • Texas • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced knowledge of healthcare auditing principles, regulatory compliance, and reimbursement methodologies, with a strong ability to analyze medical records and develop actionable compliance recommendations. Proven experience in project management, client communication, and delivering education and training in documentation and coding.

Highest-signal resume keywords

Healthcare AuditingRegulatory ComplianceAudit Report WritingProject ManagementClient Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewE/M CodingCompliance Auditing MethodologiesHealthcare Reimbursement PrinciplesAudit Findings DevelopmentCorrective Action PlanningData InterpretationRisk-Based RecommendationsDetailed Documentation AnalysisPayer Policy Analysis

Soft Skills

Strong Written CommunicationOrganizational SkillsProblem-Solving SkillsDecision-Making SkillsTeamwork and Collaboration

Tools & Technologies

Microsoft Office SuiteAI-Powered Auditing ToolsAudit Reporting Tools

Certifications & Qualifications

Certified Professional Medical Auditor (CPMA)Certified Professional Coder (CPC)Certified in Healthcare Compliance (CHC)Certified Professional Compliance Officer (CPCO)Certified Risk Adjustment Coder (CRC)

Industry Keywords

CMS GuidelinesAMA GuidelinesOIG GuidelinesNCCI GuidelinesThird-Party Payer RequirementsDocumentation RequirementsCompliance Risk TrendsQuality AssuranceHealthcare ConsultingClient Education

About the role

Key responsibilities & impact

Provide auditing, compliance, education, consulting, project management, and report writing services to healthcare clients
Work as part of an audit team to complete client projects within productivity, quality, and deadline standards
Access medical record documentation from client EMR systems
Analyze medical records for chart content, coding accuracy, and documentation requirements
Use audit reporting tools to document results and prepare reports for quality assurance review and client delivery
Interpret and apply CMS, AMA, OIG, NCCI, third-party payer, and other regulatory guidance
Identify documentation, coding, billing, reimbursement, and compliance risk trends
Communicate findings to clients and internal leadership
Develop audit findings, compliance recommendations, and corrective action plans
Prepare and present audit results, executive summaries, and compliance recommendations to providers, administrators, attorneys, and executive leadership
Conduct education and training sessions for team members, providers, and clients
Serve as a resource for providers on documentation, coding, and compliance matters
Participate in quality assurance and peer review activities
Assist with audit tools, educational materials, methodologies, and compliance resources
Coordinate research and resources for client engagements and special projects
Assist leadership with on-time, in-scope, and on-budget project delivery
Support project scope and objective development and stakeholder engagement
Develop and maintain client and stakeholder relationships
Review quality assurance audit reports and implement corrections and adjustments
Maintain current knowledge of healthcare auditing principles, regulatory compliance guidance, reimbursement methodologies, and payer requirements
Use Microsoft Office Suite and other audit-related technologies

Requirements

What you’ll need

High School Diploma required
Bachelor's degree preferred
Minimum of 3 years of healthcare auditing, documentation review, compliance, regulatory, or related healthcare experience
Experience conducting detailed medical record reviews and evaluating documentation requirements
Experience auditing professional coding across multiple specialties and service settings
Demonstrated experience with healthcare regulatory guidelines, including teaching physician settings, incident-to billing, split/shared services, and payer requirements
Experience analyzing payer policies, regulatory guidance, and reimbursement requirements and translating findings into actionable recommendations
Experience developing audit findings, corrective action plans, and compliance recommendations
Experience preparing written audit reports and presenting findings to providers, executives, compliance leadership, and other stakeholders
Experience delivering provider and staff education related to documentation, coding, and compliance requirements
Experience working independently in a consulting or client-service environment preferred
Advanced knowledge of physician documentation, E/M coding, compliance auditing methodologies, healthcare reimbursement principles, and regulatory requirements
Ability to evaluate complex documentation scenarios and apply nuanced regulatory guidance to support defensible audit conclusions
Strong written communication skills, including audit report writing, corrective action planning, and executive-level communications
Ability to communicate complex compliance and regulatory information clearly and confidently in both individual and group settings
Ability to effectively facilitate provider education and training
Ability to identify trends, interpret data, and develop practical, risk-based recommendations
Strong organizational, planning, project management, problem-solving, and decision-making skills
Ability to manage multiple priorities and projects in fast-paced environments while consistently meeting deadlines
Strong attention to detail in auditing, compliance reviews, and documentation analysis
Commitment to exceptional client service and relationship management
Demonstrated professionalism and executive presence when interacting with clients and stakeholders
Ability to foster teamwork and collaboration while maintaining a professional and positive attitude
Familiarity with AI-powered auditing and compliance tools
Advanced proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) and related technologies
Ability to work independently with minimal supervision while achieving high productivity and quality outcomes
Certified Professional Medical Auditor (CPMA) required
Certified Professional Coder (CPC) required
Certified in Healthcare Compliance (CHC) preferred
Certified Professional Compliance Officer (CPCO) preferred
Certified Risk Adjustment Coder (CRC) preferred
Registered Health Information Administrator (RHIA) preferred
Registered Health Information Technician (RHIT) preferred
Certified Outpatient Coder (COC) preferred
Other healthcare auditing or compliance-related certifications preferred

Benefits

Comp & perks

Fully remote work arrangement
Full-time employment
Support from an industry-recognized team
Opportunity to build a career in healthcare compliance and auditing