Senior Coding Quality Auditor (Remote – Onsite Training Required)

Location: Warrenville, IL (Onsite for first 30 days, then fully remote)
Schedule: Standard business hours during training (8:00 AM – 4:30 PM); flexible hours available after training
Employment Type: Full-Time, Direct Hire

Position Overview

The Senior Coding Quality Auditor conducts retrospective coding audits to ensure full compliance with internal policies, CMS regulations, OIG guidance, and other applicable standards. This role requires strong, consistent Evaluation & Management (E/M) coding experience, as the auditor will review complex E/M encounters on a regular basis. The ideal candidate demonstrates excellent analytical, communication, and teaching skills while helping improve documentation accuracy and coding compliance across the organization.

Key Responsibilities

• Perform comprehensive retrospective coding audits to verify compliance with CMS, OIG, and state Medicaid requirements.

• Review charges, claims, insurance correspondence, and related documentation for accuracy and completeness.

• Identify trends, recommend process improvements, and support operational efficiency.

• Communicate audit findings clearly to management and department leaders.

• Provide education and training to physicians, leaders, and staff regarding documentation deficiencies or coding errors.

• Collaborate with the Corporate Compliance Department on investigations and ensure corrective actions are implemented.

• Maintain up-to-date knowledge of regulatory and payer coding requirements.

• Participate in ongoing professional development and encourage AAPC/AHIMA membership.

Required Qualifications

• High School Diploma required (Associate or Bachelor’s degree preferred)

• CPC or CCS-P certification required

• Minimum 3 years of coding and auditing experience

• At least 5 years in a hospital or clinical setting

• Strong background in E/M coding and auditing required

• Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word)

• Excellent communication, analytical, and organizational skills

• Ability to handle sensitive issues and maintain professionalism at all times

Preferred Qualifications

• Experience with Epic or other major EHR systems

• Familiarity with complex audit workflows and compliance investigations

Soft Skills & Attributes

• Attention to detail and accuracy in identifying documentation and coding errors

• Strong analytical and critical thinking skills

• Clear, confident communication style with ability to educate providers effectively

• Collaborative mindset and ability to work with all levels of staff

• Time management and adaptability to changing regulations and workflows

Benefits

• Career pathways and professional development opportunities

• Medical, Dental, and Vision insurance options

• Tuition reimbursement

• Wellness and savings programs

• Health Savings Account options

• Retirement plan with company match

• Paid time off and holiday pay

• Free parking and community involvement opportunities

Equipment

This role is remote after training. Candidates must have their own laptop to work from home. Monitors and other equipment are available onsite. Alternatively, Medix can provide equipment if needed.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.