Quality Assurance Medical Coder

Quality Assurance Medical Coder

Medical Coding – Quality Assurance & Audit

Department: Revenue Cycle / Medical Coding

Reports To: Coding & Compliance Leadership

Employment Type: Full-Time

Location: Remote

Life Medical Group is seeking a highly experienced Quality Assurance (QA) Medical Coder to safeguard the accuracy, integrity, and compliance of coding across our multi-specialty practice. In this role, you will review provider documentation and coded encounters to confirm that diagnosis and procedure codes are supported, complete, and compliant with payer and regulatory requirements. You will serve as a subject-matter expert across a broad range of specialties and produce daily reporting that gives leadership clear visibility into coding quality, trends, and deficiencies. This is an ideal opportunity for a seasoned coder who thrives on precision, root-cause analysis, and helping clinical teams code to the highest standard.

The successful candidate will be proficient in reviewing and auditing coding across all of the following service lines:

• Urgent Care

• Podiatry

• Wound Care and Advanced Wound Care

• Primary Care

• Palliative Care

• Behavioral Health

• Mobile Imaging — X-Ray, Ultrasound, Vascular, and Echocardiography (Echo)

• Coding Review — Perform quality assurance audits of coded encounters across all specialties listed above, validating ICD-10-CM, CPT, HCPCS Level II, and modifier assignment against provider documentation.

• Documentation Integrity — Confirm that clinical documentation supports the level of service billed, and that charting meets medical-necessity, specificity, and compliance standards.

• Deficiency Identification — Identify coding errors, under-coding, over-coding, unbundling, and missed charge-capture opportunities; document findings with clear, defensible rationale and supporting guidelines.

• Daily Reporting — Prepare and distribute daily QA reports to leadership that summarize audit results, error rates, trends, and specific deficiencies in coding appropriateness by provider, specialty, and service line.

• Feedback & Education — Provide constructive, education-oriented feedback to providers and coding staff, and recommend workflow or documentation improvements to reduce recurring errors.

• Compliance — Ensure all coding and audit activity adheres to CMS, AMA, AAPC/AHIMA, HIPAA, and payer-specific guidelines, and stay current with annual code-set and regulatory updates.

• System of Record — Perform all documentation review, coding validation, and reporting within the AthenaOne (athenahealth) EMR/practice-management platform.

• Certification — Active professional coding certification: CPC (AAPC) or CCS (AHIMA), in good standing.

• Experience — At least 5 years Extensive hands-on medical coding experience, with a strong preference for prior quality assurance or auditing experience in a multi-specialty environment.

• Multi-Specialty Knowledge — Demonstrated proficiency coding across multiple specialties, including several of the service lines listed above (Urgent Care, Podiatry, Wound Care/Advanced Wound Care, Primary Care, Palliative Care, Behavioral Health, and Mobile Imaging).

• AthenaOne — Working proficiency in the AthenaOne (athenahealth) EMR, including chart review and coding workflows.

• Code Sets — Expert command of ICD-10-CM, CPT, HCPCS Level II, modifiers, E/M guidelines, and payer coding policies.

• Documentation — Thorough understanding of appropriate medical charting and the link between documentation and code selection.

• Communication — Strong written and verbal communication skills, with the ability to explain findings clearly and produce leadership-ready reports on a daily basis.

• Analytical Skills — High attention to detail, sound analytical judgment, and the ability to work independently in a remote setting.

• Specialty-specific credentials (e.g., CPMA for auditing, or specialty coding certifications) are a plus.

• Experience building or maintaining coding-quality dashboards and reporting tools (e.g., Excel, athenahealth reporting).

• Familiarity with wound care and mobile diagnostic imaging billing nuances, including modifier and medical-necessity requirements.

Within the first 90 days, the QA Medical Coder will have established a consistent daily audit and reporting cadence, built a clear baseline of coding accuracy by specialty and provider, and begun driving measurable improvement in coding appropriateness and documentation quality across Life Medical Group.