Coding Validator

Brown Medicine

Coding Validator auditing ICD-10, CPT, and HCPCS documentation for Brown University Health. Identifying compliance risks and educating coders and providers across its Rhode Island health system.

Posted 8/5/2026full-timeRemote • Rhode Island • 🇺🇸 United StatesMid-LevelSenior💰 $30 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in auditing ICD-10, CPT, and HCPCS codes, ensuring compliance with coding guidelines and documentation standards. Proficient in training and educating staff on coding practices and regulatory requirements while effectively communicating audit results.

Highest-signal resume keywords

CPC CertificationICD-10 CodingCPT CodingAuditing ExperienceMedical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingCPT CodingHCPCS CodingAuditingMedical Record ReviewDocumentation ComplianceCoding Guidelines MonitoringEpic Documentation TemplatesClinical Documentation AnalysisRegulatory Research

Soft Skills

Good Writing SkillsExcellent Communication Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelElectronic Medical Record Systems

Certifications & Qualifications

CPC Certification

Industry Keywords

Teaching Physician RegulationsStandards of Ethical CodingCompliance PoliciesPayer PoliciesClinical Documentation

About the role

Key responsibilities & impact

Report to the PFS Manager and perform coder and provider audits of ICD-10, CPT, and HCPCS codes
Audit professional ambulatory medical records to ensure billed codes are supported by documentation
Review diagnoses, procedures, and modifiers assigned by coders and record audit outcomes
Share coder audit results with Validation Team Leadership for feedback to coders
Review diagnoses and procedures assigned by providers and share results for provider feedback
Monitor coding and documentation guidelines, compliance policies, annual coding updates, payer policies, and industry changes
Identify coding and documentation trends that may pose compliance or revenue risks and report them to management
Recommend improvements to Epic documentation templates
Work with practices, clinics, providers, coding, compliance, risk management, contracting, and payers
Prepare training materials and provide education as needed
Perform other duties as assigned

Requirements

What you’ll need

Successful completion of a coding certification program (CPC)
Understanding of medical record content
Training in medical terminology, medical science, anatomy, and physiology
Ability to recognize and understand clinical documentation pertinent to coding
Good writing skills for clearly communicating coding and documentation issues
Computer literacy and ability to research websites for regulatory requirements
Ability to navigate the patient electronic medical record
Excellent written and oral communication skills
Proficiency in Microsoft Word, Excel, and other computer applications
Five years of coding experience, preferably in a large academic multispecialty organization
Past auditing experience or a strong coding background preferred
Knowledge of teaching physician regulations, including incident-to, split/shared, and attestation requirements
Ability to follow the Standards of Ethical Coding established by AAPC and AHIMA

Benefits

Comp & perks

Equal employment opportunities
Work environment free from unlawful discrimination and harassment
Respectful, inclusive, and equitable environment
Support for the holistic well-being of employees and their families