Medical Coding Auditing Manager

A leading national healthcare practice, committed to making a difference in the lives of many, is seeking an experienced Medical Coding Auditing Manager to lead their audit functions and ensure compliance with all relevant healthcare regulations. This is a fully remote position with a consistent Monday-Friday schedule (occasional overtime).

Responsibilities:

• Lead and manage a team of healthcare auditors.
• Conduct audits of clinical and operational processes, focusing on billing, coding, and regulatory compliance.
• Identify risks, discrepancies, and areas for process improvement.
• Analyze data and provide actionable insights.
• Develop and implement audit strategies.
• Prepare audit reports and present findings.
• Collaborate with other departments to resolve audit issues.
• Stay up-to-date on healthcare regulations.
• Monitor performance metrics.
• Provide training and guidance to staff.

Qualifications:

• Bachelor’s degree in healthcare administration, accounting, business, or a related field.
• Current coding certification (CPC, CCS, CCS-P, RHIT, RHIA, or similar).
• 5+ years of experience in healthcare auditing or compliance.
• Strong understanding of healthcare regulations (HIPAA, CMS, coding standards).
• Experience with healthcare billing, coding, and payer reimbursement.
• Experience working in a hospital or healthcare system.
• Proven ability to analyze data and present findings.
• Strong leadership and team management skills.
• Detail-oriented with excellent organizational skills.
• Proficiency with auditing software and Microsoft Office Suite.

Preferred Qualifications:

• Experience with EPIC and Athena.
• Familiarity with risk management practices.