Conducting proactive audits and compliance investigations, the full-time remote Certified Coding Auditor II will identify and address billing and coding errors while ensuring adherence to healthcare regulations and coding guidelines. Key responsibilities Initiate and perform coding and billing audits to detect potential errors and ensure compliance before claims submission Analyze billing and coding data to identify patterns of non-compliance and assess the accuracy of medical service documentation Prepare detailed audit reports summarizing findings and recommendations, and collaborate with departments to implement corrective actions Required qualifications Associate's degree in a related field from an accredited institution or equivalent experience Minimum of four (4) years of progressively responsible work experience in billing and coding compliance Knowledge of coding conventions including ICD-10-CM/PCS, HCPCS, E&M, and CPT Ability to conduct detailed healthcare compliance audits and prepare comprehensive reports CCS, CCS-P, CPC, CIC, or COC certification required within 180 days of hire