Compliance Audit Investigator Coder Date Posted:

1 October 2026

Closing Date:

October 31, 2026

Recruiter:

MedStar Health Location:

Washington, Washington DC Salary:

USD80,000

to

USD110,000

Job Type & Industry:

Compliance, Technology Risk Contract Type:

Permanent Job Reference:

2996436957-2 Apply for this job now Job Description MedStar Health seeks a Compliance Audit Investigator Coder to support accurate, ethical billing across our Maryland-Washington, D.C. system. In this role, you will perform detailed inpatient and outpatient coding audits, investigate potential documentation or billing concerns, and ensure adherence to CMS, OIG, and payer regulations. You will educate providers and staff on coding and documentation standards, collaborate with compliance and revenue cycle teams, and support internal investigations, helping safeguard patient trust and the organization's mission-driven care. Responsibilities Conduct coding and documentation audits for inpatient and outpatient encounters to ensure regulatory compliance and accurate reimbursement Investigate potential billing, coding, and documentation irregularities and prepare clear, concise audit reports Research and interpret CMS, OIG, and payer regulations and apply changes to coding and audit practices Collaborate with clinicians, revenue cycle, and compliance teams to resolve findings and implement corrective action plans Provide education and feedback to providers and staff on coding guidelines, documentation standards, and compliance risks Maintain detailed audit records, trends, and metrics to support risk assessment and performance improvement Participate in internal investigations related to potential fraud, waste, or abuse and support responses to external audits Use EHR, encoder, and auditing tools to review records, validate codes, and ensure data integrity Required Skills Medical coding (ICD-10-CM)

CPT/HCPCS

coding E/M coding guidelines Healthcare compliance regulations (CMS, OIG) Audit methodology and report writing Electronic health record (EHR) systems Coding and audit software/encoders Revenue cycle and billing processes Data analysis of audit trends Provider education and training