[Hiring] Certified Professional Medical Coding Auditor @Tegria

Role Description

As a Certified Professional Medical Coding Auditor, your work at Tegria will focus on evaluating the accuracy, consistency, and quality of coded medical records completed by internal and external coding staff, conducting routine monthly and targeted audits to ensure adherence to official coding guidelines, payer requirements, regulatory standards, and organizational policies.

• Complete audits, applying established coding guidelines and audit procedures to resolve most coding questions independently.
• Recommend improvements to coding procedures as guidelines and requirements evolve.
• Escalate findings that may signal a compliance or revenue concern to coding leadership for evaluation.
• Provide supporting documentation that leadership relies on when determining next steps.
• Identify coding trends and improvement opportunities from completed audits and share them with coding leadership.
• Deliver clear, constructive feedback and help support coder development while championing accuracy, compliance, and revenue integrity throughout the organization.

Qualifications

• High school diploma or equivalent required.
• Associates or Bachelor's degree in Health Information Management or related healthcare field preferred.
• Current Certified Professional Medical Auditor (CPMA) certification, in addition to one of the following AAPC or AHIMA certifications:
  • Certified Professional Coder (CPC)
  • Certified Coding Specialist (CCS)
  • Certified Outpatient Coder (COC)
  • RHIT or RHIA
• Minimum 3 years of medical coding experience in professional and/or facility coding.
• Minimum 1 year of coding quality review, auditing, or coding education experience.
• Strong working knowledge of ICD-10-CM, CPT, HCPCS Level II, ICD-10-PCS, and official coding guidelines.
• Solid understanding of coding quality methodologies and audit principles.

Requirements

• W2 project-based consultants will be expected to provide a computing device that adheres to industry standards and security best practices.

Success Criteria

• Are productive, responsive, and reliable in a remote working environment.
• Exercise sound, independent judgment on ambiguous or complex coding issues.
• Demonstrate objectivity and consistency in evaluating others' work.
• Communicate clearly and constructively, even when delivering critical feedback.
• Stay current and adaptable as coding guidelines and regulations evolve.
• Balance strong attention to detail with big-picture, trend-level thinking.
• Build trust and credibility through sound, well-supported judgment.
• Manage competing priorities and deadlines effectively.
• Approach coaching and development with patience and a constructive mindset.
• Take ownership and follow through on outcomes.

Salary Range

$75,000 - $95,000

Benefits

• Choice of multiple health and dental plans with nationally recognized networks.
• Vision benefits, a total wellness program, and an employee assistance program for you and your family.
• Competitive wages and retirement savings plans.
• Company-paid disability and life insurance.
• Pre-tax savings opportunities (HSA and/or FSA).
• Professional development offerings and opportunities for remote work.
• A generous paid-time-off program.

Company Description

At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.

We cultivate a culture of equity and inclusion, and we believe in our mission to humanize healthcare.