Role Description
As a Medical Coding Auditor, you will be responsible for conducting routine and focused audits of medical coding to ensure compliance, accuracy, and quality. You'll play a critical role in providing education and feedback to coders and providers to improve documentation and coding accuracy.
Location: Remote
Level: Associate, Medical Coding Auditor
Team: Coding Department
What You Will Do
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Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
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Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
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Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
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Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
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Review medical records, claims data, and provider documentation to assess the accuracy of ICD-10-CM, CPT, HCPCS, and modifier assignment.
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Identify coding errors, trends, and opportunities for improvement; prepare detailed audit reports with actionable findings.
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Stay current with AAPC, AHIMA, CMS, and OIG guidelines, as well as payer policy changes and HCC model updates.
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Uphold all HIPAA, privacy, and compliance standards in handling patient data and audit documentation.
You’ll Love this Job If…
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You have an eye for detail and take pride in upholding the highest standards of coding accuracy and compliance.
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You’re motivated by the impact your work has on data integrity, provider education, and overall care quality.
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You enjoy analyzing trends, identifying opportunities for improvement, and helping others strengthen their documentation and coding practices.
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You thrive in a tech-forward, mission-driven environment where innovation and accountability go hand in hand.
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You’re comfortable working independently in a remote setting, yet you value being part of a collaborative, growth-oriented team.
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You love the idea of transforming complex audit findings into meaningful insights that drive better outcomes and operational excellence.
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You’re energized by the chance to make a real difference — ensuring that accurate, ethical coding supports Sprinter Health’s mission to deliver care where patients need it most.
Qualifications
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Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.
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Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance capacity.
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Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.
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Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.
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Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.
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Ability to work independently and maintain productivity in a remote setting.
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Strong communication and problem-solving skills.
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Proficient in EHR systems, encoder/coding software, and Google tools.
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Reliable internet connection and dedicated, secure workspace.
Benefits
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$33 - $36 base salary + equity.
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100% paid health, dental, vision premiums (for families too).
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Generous parental leave (4 months for birthing parent, 2 months for partners).
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401(k) with company match.
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Unlimited PTO + flexible schedule.