Coding Investigator Auditor - Remote

Coding Investigator Auditor - Remote Health Care Service Corporation - 3.7 Tulsa, OK Job Details Full-time $55,900 - $123,500 a year 1 day ago Benefits Work from home Qualifications Microsoft Word Microsoft Excel Microsoft Outlook Medical claims processing Medicare RHIA Presentation software Regulatory compliance in claims processing Research Mid-level RHIT Certified Professional Coder

ICD-10 CMS

regulatory compliance HCPCS Bachelor's degree Task prioritization Certified Coding Specialist Centers for Medicare and Medicaid Services (CMS) Microsoft Teams 1 year Communication skills Full Job Description Tulsa, OK Chicago, IL Richardson, TX Full time 04/29/2026 R0049986

Compensation:

$55,900.00 - $123,500.00 At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. The Coding Investigator Auditor role is responsible for conducting billing, coding, and documentation reviews of professional and outpatient claims for services in both a pre and post payment environment to validate the accuracy and adherence specific to ICD-10-CM, CPT, HCPCS and CMS coding guidelines, specific to unbundling, duplicate billing, upcoding, misuse of modifiers, violation of provider contract, medical policy adherence. Operational efficiency with coding guidelines, internal and internal policies, provider contracts, state regulations and other information to validate the claims submitted and billed. In addition, this role is responsible for conducting research, preparing documentation and communication of findings, and consulting with internal departments and staff as needed.

Required Job Qualifications:

Bachelor's Degree; in lieu of degree one year of claims or coding experience, may substitute for each year of college. Certified Coding Certification (CPC, COC, CCS, CCS-P, RHIT, RHIA) or acquire within 24 months of hire 3 years' experience in claims processing operations and reporting systems, including 2 years' experience in auditing, or developing computer system reports. Adhere to time management, production and quality standards as set by the department. Professional communication skills, oral and written. Prioritize multiple assignments and multiple spreadsheets, documents, and reports. Industry knowledge of Medicare regulations and payment policies, including OPPS Proficient in computer applications such as

Microsoft Excel, Teams, PowerPoint, Word, and Outlook Preferred Job Qualifications:

2+ years certified coding experience This role will be 100% work from home #LI-LK1 #

LI-Hybrid Compensation:

$55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. To learn more about available benefits, please visit https://careers.hcsc.com/totalrewards (opens in new window)