{"id":2691978,"url":"https://alion.io/job/healthcare-fraud-shield-coding-auditor","title":"Coding Auditor","company":{"id":680002,"name":"Healthcare Fraud Shield","domain":"hcfraudshield.com","url":"https://alion.io/company/hcfraudshield","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Pinpoint","truth_index":null},"role":"Finance","role_family":"Finance","seniority":"junior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"inferred_payroll_markers","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":38000,"max_usd":87000,"period":"year","method":"global_role_seniority_cell","sample_n":3830},"experience_years_min":1,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-15T09:12:31Z","employer_posted_date":"2026-10-21","last_verified_at":"2026-11-09T14:00:13Z","board_verified":true,"closed_at":null,"days_open":25,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":25},"description":"The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation.\nKey Responsibilities\nCompare the procedures and codes billed on a claim to a medical record.\n Compare information submitted on the claims in order to determine amount and nature of billable services as needed.\nDetermines appropriateness of billing and reimbursement as needed.\nDocuments findings for each claim line in a spreadsheet as needed.\nSummarize findings in a written report as needed.\nAbstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records as needed.\nResponsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed.\nUnderstands and complies with all company Privacy and Security standards.\n Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.\nOn average, there are a minimum of 5-10 claim line reviews per hour.\nOther duties as needed.\nSkills, Knowledge and Expertise\nKnowledge of medical terminology.\nKnowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10.\nKnowledge of specialty medical practices.\nMust be detail oriented.\nAbility to communicate effectively both verbally and in writing.\nStrong listening skills.\nIndependent. \nResponsible.\nSelf-disciplined.\nAbility to meet defined performance and production goals.\nStrong computer skills.\nThis job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.\n\nCertificate/License:\nMinimum of one year of investigative experience is required.\nRequired to have one of the following: CPC, CCS, CCA\nBenefits\nMedical, Dental & Vision insurance\n401(k) retirement savings with employer match\nVacation and sick paid time off\n7 paid holidays & 2 floating holidays\nPaid maternity/paternity leave\nDisability & Life insurance\nFlexible Spending Account (FSA)\nEmployee Assistance Program (EAP)\nProfessional and career development initiatives\nRemote work eligible\n\n REMOTE WORK REQUIREMENTS:\nMust have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.\n\nHealthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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