Coding Validator

Brown Medicine

Coding Validator auditing ICD-10, CPT, and HCPCS accuracy for Brown University Health, Rhode Island’s largest nonprofit health system. Educating coders and providers while identifying documentation and compliance risks.

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding and documentation compliance, with a strong focus on ICD-10, CPT, and HCPCS coding standards. Proficient in auditing medical records and providing education on coding practices while ensuring adherence to ethical coding standards.

Highest-signal resume keywords

CPC CertificationICD-10 CodingCPT CodingAuditing ExperienceMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingCPT CodingHCPCS CodingMedical TerminologyClinical DocumentationAuditing Medical RecordsCoding ComplianceDocumentation EducationCoding Guidelines MonitoringEpic Documentation-Template Improvement

Soft Skills

Good Writing SkillsExcellent Communication SkillsAbility to Work Independently

Tools & Technologies

Microsoft WordMicrosoft ExcelElectronic Patient Medical Records

Certifications & Qualifications

CPC Certification

Industry Keywords

Standards of Ethical CodingAAPCAHIMACompliance PoliciesRevenue Risk Management

About the role

Key responsibilities & impact

Report to the PFS Manager and perform coder and provider audits of ICD-10, CPT, and HCPCS codes
Prepare training materials and provide coding and documentation education as needed
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 record outcomes
Share provider audit results with Validation Team Leadership for communication to providers and provider leadership
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 risk and report them to management
Recommend Epic documentation-template improvements to minimize compliance risk and support accurate provider documentation
Work with practices, clinics, providers, coding, compliance, risk management, contracting, and payers to align processes and feedback
Follow the Standards of Ethical Coding established by AAPC and AHIMA
Perform other assigned duties

Requirements

What you’ll need

Successful completion of a coding certification program (CPC)
Knowledge 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 electronic patient medical records
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
Ability to work independently within departmental policies and procedures
Ability to refer complex problems to a supervisor when policy clarification is needed
No supervisory responsibility
Compliance with the Standards of Ethical Coding from the American Academy of Professional Coders and American Health Information Management Association
Normal office environment; Monday–Friday day schedule, 8 hours daily

Benefits

Comp & perks

Equal employment opportunities and a work environment free from unlawful discrimination and harassment
Respectful, inclusive, and equitable environment
Holistic well-being support for employees and their families