Coding Validation Auditor

CarolinaEast·New Bern, North Carolina

Full Time Remote Ok 5-10 yrsPosted 26 days ago

About the role

The Coding Validation Auditor performs quality reviews of medical records to ensure coding and billing accuracy, completeness, and compliance. They also assist in verifying that proper authorization was obtained for procedures performed on the date of service.

*****MUST LIVE IN North Carolina as a resident for this remote position*****
Coding Validation Auditors – 2 positions to fill 1 Surgical Coding Auditor: The ideal candidate will have experience auditing surgical/procedural coding and validating coding accuracy, documentation support, CPT/HCPCS and ICD-10-CM code assignment, modifier usage, and compliance with applicable coding guidelines. 1 E/M Coding Auditor: The ideal candidate will have experience auditing Evaluation and Management (E/M) services, with a strong understanding of E/M documentation requirements, code selection, medical necessity, and applicable coding guidelines. Job Summary: The Coding Validation Auditor is responsible for performing quality reviews of medical records for coding and billing to ensure the clinical information within the medical record is accurate, complete, and compliant to support coding. Assists with evaluating and ensuring proper and complete authorization was obtained for procedures performed on the prior authorized date of service. This position is eligible for the remote coding program. About CarolinaEast Health System CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America’s Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades. Minimum Requirements: RHIA, RHIT, CCS, CCS-P, or CPC certification. Five or more years’ hospital coding and/or coding auditing experience for a healthcare entity. Maintain current level of understanding of ICD-10, CPT, and HCPCS coding. Maintain current knowledge of coding rules and guidelines, coding clinic, cpt assistant, and regulatory update. Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.

Requirements

Candidates must hold an RHIA, RHIT, CCS, CCS-P, or CPC certification and possess at least five years of hospital coding or auditing experience. Proficiency in ICD-10, CPT, and HCPCS coding guidelines is required.

professional certificate
Compliance
Auditing
Billing
CPT
HCPCS
Authorization
ICD-10-CM
Medical necessity
Procedural coding
Documentation support
Surgical coding
Quality reviews
Modifier usage
E/M services

Benefits

Health insurance
Robust benefits package

Posting details

Employment type: Full Time
Work arrangement: Remote Ok
Experience: 5-10 yrs
Location: New Bern, North Carolina
Posted: Aug 12, 2026
Application: Employer website

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Coding Validation Auditor

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