Commission Remote Medical Coder Jobs in Illinois

Senior Coding Quality Auditor

Remote (Must reside in Illinois, Indiana, or Wisconsin)

Direct Hire Opportunity

We are hiring a Senior Coding Quality Auditor for a growing healthcare organization. This is a direct hire remote opportunity for an experienced coding auditor with strong Professional Billing (PB) and E/M auditing experience who is looking to work within a collaborative and compliance-focused environment.

Position Overview:
The Senior Coding Quality Auditor is responsible for conducting retrospective audits to ensure coding, billing, and documentation compliance with internal policies, CMS regulations, OIG guidance, state Medicaid plans, and professional standards. This role will also help educate providers and staff on coding accuracy and documentation improvement opportunities.

Responsibilities:

• Conduct retrospective coding and documentation audits for professional billing claims
• Review medical records, charge information, claim forms, and insurance correspondence to ensure accurate coding and billing practices
• Audit E/M coding and identify documentation deficiencies or compliance concerns
• Communicate audit findings and recommendations to physicians, leadership, and staff
• Educate providers and teams on coding accuracy and documentation improvement
• Assist with compliance investigations and collaborate with leadership and compliance departments as needed
• Manage audit timelines, reporting, and follow-up activities
• Identify trends and recommend process improvements to improve coding quality and compliance

Requirements:

• CPC or CCS-P certification required
• Minimum 3 years of coding and auditing experience
• Strong Professional Billing (PB) audit experience required
• Strong E/M auditing experience required
• Minimum 5 years of experience within a hospital or clinical setting
• Strong understanding of CPT, ICD-10, HCPCS, CMS, and OIG compliance standards
• Excellent communication, analytical, and organizational skills
• Proficiency with Microsoft Office Suite including Excel, Word, and PowerPoint

Preferred Qualifications:

• Epic experience preferred
• AHIMA or AAPC membership preferred

Schedule:

• Remote opportunity
• Must be onsite in Warrenville, IL for the first 30 days of training
• Standard training hours: Monday - Friday, 8:00 AM - 4:30 PM
• Flexible scheduling available after training
• Must live within driving distance for occasional onsite team meetings

Compensation & Benefits:
Salary Range: $55,348 - $83,033 annually (Pay is negotiable based on experience)

Benefits include:

• Medical, Dental, and Vision coverage
• Retirement plan with company match
• Paid time off and holiday pay
• Tuition reimbursement
• Wellness savings programs
• Career growth and professional development opportunities
• Community involvement opportunities

Why Apply:

• Direct hire opportunity with long-term stability
• Remote opportunity with flexible scheduling after training
• Collaborative and supportive team environment
• Opportunity to work with leadership on compliance and quality initiatives
• Strong focus on professional development and education

If you are an experienced coding auditor with strong PB and E/M audit experience looking for your next opportunity, we encourage you to apply today.

For California Applicants:

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).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. 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.