Coding Quality Auditor - Remote
Company: Conifer Revenue Cycle Solutions
Location: The Colony
Posted on: February 7, 2026
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Job Description:
JOB SUMMARY Conducts data quality audits of inpatient admissions
and outpatient encounters to validate coding assignment is in
compliance with the official coding guidelines as supported by
clinical documentation in health record. Validates abstracted data
elements that are integral to appropriate payment methodology.
ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others
may be assigned. Consulting : Consults facility leaders and staff
on best practices, methodology, and tools for accurately coding.
Chart Analysis IP, OP Coding Data auditing and validation : Reviews
medical records for the determination of accurate assignment of all
documented diagnoses and procedures. Adheres to Standards of
Ethical Coding (AHIMA). Reviews medical records for the
determination of accurate assignment of all documented diagnoses
and procedures. Reviews claim to validate abstracted data including
but limited to discharge disposition which impacts facility
reimbursement and/or MS-DRG assignment. Adheres to Standards of
Ethical Coding (AHIMA).Reviews medical records to determine
accurate required abstracting elements (facility/client/payer
specific elements) including appropriate discharge disposition IP,
OP Coding : Reviews medical records for the determination of
accurate assignment of all documented ICD-9-CM codes for diagnoses
and procedures. Abstracts accurate required data elements
(facility/client specific elements) including appropriate discharge
disposition. Coding : Uses discretion and specialized coding
training and experience to accurately assign ICD-9, CPT-4 codes to
patient medical records. Abstracting : Reviews medical records to
determine accurate required abstracting elements (client specific
elements) including appropriate discharge disposition. Coding
Quality : Demonstrates ability to achieve accuracy and consistency
in the selection of principal and secondary diagnoses (including
MCC & CC) and procedures. Demonstrates ability to achieve accuracy
and consistency in abstracting elements defined by SOW. CDI :
Identifies and communicates documentation improvement opportunities
and coding issues (lacking documentation, physician queries, etc.)
to appropriate personnel for follow-up and resolution. Professional
Development : Stays current with AHA Official Coding and Reporting
Guidelines, CMS and other agency directives for ICD-9-CM and CPT
coding. Attends mandatory coding seminars on annual basis (IPPS and
OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient
coding. Quarterly review of AHA Coding Clinic. Attends Quarterly
Coding Updates and all coding conference calls KNOWLEDGE, SKILLS,
ABILITIES To perform this job successfully, an individual must be
able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge,
skill and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions. Ability to consistently code at 95% accuracy
and quality while maintaining client specified production standards
Must successfully pass coding test Knowledge of medical
terminology, ICD-9-CM and CPT-4 codes Must be detail oriented and
have the ability to work independently Computer knowledge of MS
Office Must display excellent interpersonal skills The coder should
demonstrate initiative and discipline in time management and
assignment completion The coder must be able to work in a virtual
setting under minimal supervision Intermediate knowledge of disease
pathophysiology and drug utilization Intermediate knowledge of
MSDRG classification and reimbursement structures Intermediate
knowledge of APC, OCE, NCCI classification and reimbursement
structures Conifer requires its candidates, as applicable and as
permitted by law, to obtain and provide confirmation of all
required vaccinations and screenings prior to the start of
employment. This may include, but is not limited to, the COVID-19
vaccination, influenza vaccination, and/or any future required
vaccines and screenings. EDUCATION / EXPERIENCE Associates degree
in relevant field preferred or combination of equivalent of
education and experience Three years coding experience including
hospital and consulting background CERTIFICATES, LICENSES,
REGISTRATIONS AHIMA Credentials, and or AAPC PHYSICAL DEMANDS The
physical demands described here are representative of those that
must be met by an employee to successfully perform the essential
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
functions. Duties may require bending, twisting and lifting of
materials up to 25 lbs. Duties may require driving an automobile to
off- site locations. Duties may require travel via, plane, care,
train, bus, and taxi-cab. Ability to sit for extended periods of
time. Must be able to efficiently use computer keyboard and mouse
to perform coding assignments. WORK ENVIRONMENT The work
environment characteristics described here are representative of
those an employee encounters while performing the essential
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
functions. Floats between clients as requested. Capacity to work
independently in a virtual office setting or at hospital setting if
required to travel for assignment. OTHER Regular travel may be
required As a part of the Tenet and Catholic Health Initiatives
family, Conifer Health brings 30 years of healthcare industry
expertise to clients in more than 135 local regions nationwide. We
help our clients strengthen their financial and clinical
performance, serve their communities and succeed at the business of
healthcare. Conifer Health helps organizations transition from
volume to value-based care, enhance the consumer and patient
healthcare experience and improve quality, cost and access to
healthcare. Are you ready to be part of our solutions? Welcome to
the company that gives you the resources and incentives to redefine
healthcare services, with a competitive benefits package and
leadership to take your career to the next step! Compensation and
Benefit Information Compensation Pay: $30.85 - $46.28 per hour.
Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new
hires, subject to employment status. Conifer observed holidays
receive time and a half. Benefits Conifer offers the following
benefits, subject to employment status: Medical, dental, vision,
disability, and life insurance Paid time off (vacation & sick
leave) - min of 12 days per year, accrue at a rate of approximately
1.84 hours per 40 hours worked. 401k with up to 6% employer match
10 paid holidays per year Health savings accounts, healthcare &
dependent flexible spending accounts Employee Assistance program,
Employee discount program Voluntary benefits include pet insurance,
legal insurance, accident and critical illness insurance, long term
care, elder & childcare, AD&D, auto & home insurance. For
Colorado employees, Conifer offers paid leave in accordance with
Colorado's Healthy Families and Workplaces Act.
Keywords: Conifer Revenue Cycle Solutions, McKinney , Coding Quality Auditor - Remote, Healthcare , The Colony, Texas
