Professional Coding Auditor & Educator

Location: Remote role associated with Livonia and Ypsilanti, Michigan, and Silver Spring, Maryland

Company

hirify.global provides healthcare services guided by a mission, values, and commitment to person-centered care.

What you will do

• Analyze coding and documentation for complex services, including surgical procedures and high-acuity services.
• Conduct comprehensive audits of professional coders and providers against CPT, ICD-10, HCPCS, HCC, and payer-specific guidelines.
• Research coding patterns and operational data to identify compliance, revenue integrity, regulatory, and performance risks.
• Prepare analytical reports with trend visualizations, practical recommendations, ROI, and progress measurements.
• Provide actionable feedback to providers, coders, and leadership to improve documentation quality and coding accuracy.
• Develop and deliver education, training, and onboarding for colleagues and providers based on audit findings and regulatory updates.

Requirements

• Associate degree in Health Information Management or a related field, or an equivalent combination of education and experience.
• At least five years of professional coding experience, including surgical procedures, plus two years of auditing or education experience.
• Extensive knowledge of ICD-10, HCPCS, CPT, HCC, medical terminology, Medicare and Medicaid regulations, and payer policies.
• Required certification: RHIT, RHIA, CCS, or CPC.
• Ability to maintain coding accuracy of at least 95% and complete the audit and education workplan.

Nice to have

• Bachelor's degree in Health Information Management or a related healthcare field.
• Previous experience in auditing and provider education.
• CPMA, CRC, or CDEO certification.

Culture & Benefits

• Work is performed remotely, with conditions that may include travel requirements and occasional clinical or patient-facing environments.
• Work includes frequent computer use, continuous sitting with position adjustment, and management of concurrent tasks and shifting priorities.
• Responsibilities require compliance with hirify.global policies, procedures, safety practices, and Code of Conduct.
• Inclusive workplace committed to dignity, respect, equal opportunity, and person-centered care.