Medical Coding Compliance Auditor (Healthcare Compliance)

Location: Fully remote, associated with Dallas, TX, USA.

Company

Healthcare consulting firm providing valuation, strategic, coding, and compliance services to healthcare organizations, investors, law firms, and private equity firms.

What you will do

• Conduct detailed medical record reviews to evaluate chart content, coding accuracy, documentation, billing, reimbursement, and compliance.
• Interpret CMS, AMA, OIG, NCCI, third-party payer, and other regulatory guidance when developing audit findings and recommendations.
• Prepare audit reports, executive summaries, corrective action plans, and compliance recommendations for client delivery.
• Present findings and provide education and training to providers, administrators, attorneys, executives, and internal teams.
• Identify risk trends, participate in quality assurance and peer review, and maintain audit tools, methodologies, and compliance resources.
• Support client engagement planning, project delivery, stakeholder coordination, and relationship management.

Requirements

• Minimum 3 years of healthcare auditing, documentation review, compliance, regulatory, or related healthcare experience.
• Experience reviewing medical records, auditing professional coding across specialties and settings, and evaluating documentation requirements.
• Knowledge of physician documentation, E/M coding, healthcare reimbursement, payer policies, teaching physician settings, incident-to billing, and split/shared services.
• Strong analytical, critical-thinking, written communication, presentation, project management, and client-service skills.
• High school diploma required; bachelor's degree preferred.
• Required certifications: Certified Professional Medical Auditor (CPMA) and Certified Professional Coder (CPC).

Nice to have

• Certified in Healthcare Compliance (CHC), Certified Professional Compliance Officer (CPCO), Certified Risk Adjustment Coder (CRC), RHIA, RHIT, COC, or other healthcare auditing and compliance certifications.
• Experience working independently in a consulting or client-service environment.
• Familiarity with AI-powered auditing and compliance tools.

Culture & Benefits

• Fully remote work arrangement.
• Collaboration with an industry-recognized team serving a broad national healthcare client base.
• Work across physician practices, hospitals, health systems, academic medical centers, law firms, and other healthcare organizations.
• Opportunity to support complex healthcare compliance and auditing engagements.