Medical Auditor
About Sprinter Health
At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. About the Role As a Medical Coding Auditor, you will be responsible for conducting routine and focused audits of medical coding to ensure compliance, accuracy, and quality. You'll play a critical role in providing education and feedback to coders and providers to improve documentation and coding accuracy. What You Will Do- Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
- Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
- Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
- Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
- Review medical records, claims data, and provider documentation to assess the accuracy of ICD-10-CM, CPT, HCPCS, and modifier assignment.
- Identify coding errors, trends, and opportunities for improvement; prepare detailed audit reports with actionable findings.
- Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
- Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
- Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.
- Stay current with AAPC, AHIMA, CMS, and OIG guidelines, as well as payer policy changes and HCC model updates.
- Uphold all HIPAA, privacy, and compliance standards in handling patient data and audit documentation.
What We’re Looking For
- Certification: Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.
- Experience: Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance capacity.
- Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.
- Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.
- Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.
- Ability to work independently and maintain productivity in a remote settingStrong communication and problem-solving skills.
- Proficient in EHR systems, encoder/coding software, and Google tools.
- Reliable internet connection and dedicated, secure workspace.
Technologies We Use
- EMR: Elation
- Google Suite (docs, slides, sheets)
Salary
$70,000 - $90,000 a year Closing Sprinter Health is an equal opportunity employer. We value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or other protected classes. Location: Remote - Anywhere Skills required for this job:- Audit preparation
- Corporate compliance
- Custom Post Type (CPT)
- Electronic health record (EHR)
- Google Tools
- HIPAA compliance
- ICD-10-CM
- Medical coding
- Medical terminology
- Pharmacology
- Physiology
- Quality assurance (QA)
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