Medical Auditor

Sprinter Health

Medical Coding Auditor responsible for conducting audits of medical coding for Sprinter Health. Ensuring compliance and providing education to improve documentation and coding accuracy.

Posted 5/19/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $90,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
Review medical records, claims data, and provider documentation to assess the accuracy of ICD-10-CM, CPT, HCPCS, and modifier assignment.
Identify coding errors, trends, and opportunities for improvement; prepare detailed audit reports with actionable findings.
Stay current with AAPC, AHIMA, CMS, and OIG guidelines, as well as payer policy changes and HCC model updates.
Uphold all HIPAA, privacy, and compliance standards in handling patient data and audit documentation.

Requirements

What you’ll need

Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.
Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance capacity.
Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.
Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.
Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.
Ability to work independently and maintain productivity in a remote setting
Strong communication and problem-solving skills
Proficient in EHR systems, encoder/coding software, and Google tools.
Reliable internet connection and dedicated, secure workspace

Benefits

Comp & perks

100% paid health, dental, vision premiums (for families too)
Generous parental leave (4 months for birthing parent, 2 months for partners)
401(k) with company match
Unlimited PTO + flexible schedule

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingICD-10-CMCPTHCPCSmodifier assignmentcoding auditclinical documentation improvementcoding validationHCC codingcoding accuracy

Soft Skills

communicationproblem-solvingindependenceproductivityfeedback deliveryeducationattention to detailorganizational skillsanalytical skillsinterpersonal skills

Certifications

AAPC CPCAHIMA CCS-PAHIMA CCS