Coding Quality Auditor

Tenet Healthcare

Conducts coding quality audits ensuring compliance with coding guidelines in healthcare. Consults with facility leaders on coding best practices and methodology.

Posted 5/13/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $31 - $46 per hourWebsite

About the role

Key responsibilities & impact

Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.
Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.
IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures.
Coding: Uses discretion and specialized coding training to accurately assign ICD-9, CPT-4 codes to patient medical records.
Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures.
CDI: Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.

Requirements

What you’ll need

Associates degree in relevant field preferred or combination of equivalent of education and experience
Three years coding experience including hospital and consulting background
Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards
Must successfully pass coding test
Knowledge of medical terminology, ICD-9-CM and CPT-4 codes
Must be detail oriented and have the ability to work independently
Computer knowledge of MS Office
Must display excellent interpersonal skills
The coder should demonstrate initiative and discipline in time management and assignment completion
Intermediate knowledge of disease pathophysiology and drug utilization
Intermediate knowledge of MSDRG classification and reimbursement structures
Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures

Benefits

Comp & perks

Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-9-CM codingCPT-4 codingdata quality auditschart analysiscoding accuracymedical terminologydisease pathophysiologyMSDRG classificationAPC classificationOCE classification

Soft Skills

detail orientedindependent workinterpersonal skillsinitiativedisciplinetime management