Lead Professional Fee Coding Auditor
Remote | Full-Time | Salary Range: $30.00 - $36.00 per hour
Work Remotely. Grow Professionally. Feel Valued.
For more than 30 years, Managed Resources, Inc. has partnered with healthcare organizations nationwide to improve performance, strengthen revenue cycle operations, support compliance, and help providers focus on delivering quality patient care.
We’re proud of the work we do, but we’re equally proud of the workplace we’ve built.
At Managed Resources, you’ll find the stability and reputation of an established healthcare consulting firm combined with the accessibility, collaboration, and growth opportunities of a smaller organization. Here, your contributions are visible, your ideas are welcomed, and your work makes a meaningful impact.
Compensation
Salary Range: $30.00 - $36.00 hourly
Actual compensation will be determined based on factors including experience, qualifications, specialized skills, geographic location, and internal equity considerations.
Quick Facts
- Remote
- Full-Time
- Competitive Compensation
- Phone & Internet Stipend
- Medical, Dental, and Vision Benefits (Full-Time Employees)
- 401(k) Retirement Plan with Company Match
- Paid Time Off, Seven Company Holidays, and Two Floating Holidays (Full-Time Employees)
- Professional Development Opportunities
- Employee Recognition Programs
Why Join Managed Resources?
Your Voice Matters
At Managed Resources, employee feedback isn’t collected and forgotten; it helps drive meaningful change.
Employee feedback has contributed to enhancements in employee recognition programs, professional development opportunities, communication initiatives, employee experience improvements, and technology investments. We believe the people closest to the work often have the best ideas.
Feeling Valued Matters
We believe great work deserves recognition.
Throughout the year, we celebrate employee contributions through appreciation initiatives, recognition programs, milestone celebrations, and professional observances such as Nurses Week and Coding Week. We intentionally create opportunities for employees to feel seen, valued, and appreciated.
A Remote Team That Stays Connected
Remote work shouldn’t mean feeling disconnected.
We foster connection through virtual team events, company celebrations, employee appreciation activities, holiday gatherings, and opportunities for collaboration across teams. Our employees enjoy the flexibility of remote work while remaining part of an engaged and supportive culture.
Opportunities to Learn and Grow
Whether you’re looking to deepen your expertise, expand your skill set, or take the next step in your career, Managed Resources supports continuous learning and professional growth.
Our leaders are accessible, collaborative, and invested in helping employees succeed.
The Best of Both Worlds
As an established organization with more than three decades of success, we offer stability, industry expertise, and long-standing client relationships.
As a smaller organization, employees have the opportunity to build meaningful relationships, gain visibility with leadership, contribute ideas, influence change, and make a measurable impact on the organization.
Your work matters here.
About the Opportunity
The primary responsibilities of the Lead Professional Fee Coding Auditor comprise of auditing medical records to determine accurate professional fee codes and completing formal audit reports. Additional duties under the direct supervision of the Director of Audit and Education will include audit client project oversight and quality assurance of other auditors on the team.
Why This Role Matters
The Lead Professional Fee Coding Auditor plays a critical role in strengthening internal operations by providing operational and technical leadership for professional fee audit activities, translating audit findings into actionable improvements that strengthen coding accuracy, compliance, revenue integrity, and workflow efficiency
What You’ll Gain
- Flexibility of a remote work environment
- Visibility and access to leadership
- Opportunity to contribute ideas and influence change
- Professional development and career growth opportunities
- Meaningful work supporting healthcare organizations nationwide
- A collaborative culture that values employee success, recognition, and work-life balance
What You’ll Do
- Perform multi-specialty provider and coder audits by reviewing medical record documentation compared to selected professional fee codes. Code review includes E/M, CPT, HCPCS, ICD-10-CM and modifiers. Review of medical records may include office visits, hospital visits, minor and majority surgeries and diagnostic testing.
- Accurately enter data into the audit software and/or Audit Excel reports. Compose audit findings and recommendations comments.
- Evaluate the overall quality of physician documentation for quality improvement measures.
- Perform accurate audits using applicable coding guidelines and client protocols.
- Report findings and questions from audit staff to the Supervisor or Manager.
- Research coding guidelines and provide updates to audit team and Supervisor.
- Perform quality assurance reviews on team members to ensure accurate coding as assigned by the Supervisor.
- Communicate directly with Supervisor of Professional Audit and Education for client updates, assignments, and client deliverables.
- Communicate with audit team to assist with training, questions, work volumes, project updates and due dates.
- Communicate with client as needed and/or requested by the Supervisor (i.e. coding clarification, missing documentation, client calls, subject matter expert, etc.)
- Assist with project tracking.
- Assist with Audit report and Executive Summary report writing.
- Track and enter time accurately and timely into our timekeeping system.
- Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities
- Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
- Other duties as assigned.
What You’ll Bring
- Must have one of the following current credentials from AAPC or AHIMA; CPC or CCS-P. CPMA a plus.
- A minimum of 5 years’ experience required abstracting CPT, E&M, HCPCS and ICD-10-CM codes from provider documentation.
- A minimum of 5 years’ experience performing professional fee formal audits that include accurate coding, roll up trends and recommendations and written reports.
- A minimum of 1-2 years' recent experience as a Lead or performing similar duties.
- Requires advanced multispecialty coding knowledge in at least 10 medical and surgical specialties as assigned including but not limited to E/M clinic & minor procedures, E/M hospital, and surgery.
- Extensive knowledge of medical terminology
- Experience in researching and applying coding rules and regulations.
- Must have experience with data entry of codes into a database and/or software tool.
- Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems including Epic, Cerner, and others. Audit software such as Audit Manager, Intellicode, and MDAudit are a plus.
- Excellent oral and written communication skills.
- Have a positive, respectful attitude.
Benefits & Perks
Full-Time Employees
- Medical, Dental, and Vision Insurance
- Phone and Internet Stipend
- Company-Paid Life Insurance
- 401(k) Retirement Plan with Company Match
- Paid Time Off
- Seven Company-Observed Holidays
- Two Floating Holidays for Personal Observance
- Professional Development Opportunities
- Employee Recognition Programs
- Remote Work Environment
Ready to Join Us?
If you’re looking for a company where your expertise is respected, your contributions are recognized, and your work has a meaningful impact, we’d love to hear from you.
Join a team that combines the stability of an established healthcare consulting organization with the culture, connection, and growth opportunities of a smaller company.
Apply today and build your career with Managed Resources.
Managed Resources, Inc. is an Equal Opportunity Employer and is committed to creating an inclusive workplace where all employees can thrive.
Current CPC or CCS-P credential required; 5+ years abstracting CPT, E/M, HCPCS, ICD-10-CM; 5+ years performing professional fee audits; 1-2 years lead experience; advanced multispecialty coding knowledge; proficiency in Microsoft Excel, Word, and EMR systems.
Key Responsibilities
- auditing medical records
- performing quality assurance
- researching coding guidelines
Skills & Tools
Microsoft Excel, Microsoft Word, EMR, Epic, Cerner, Audit Manager, Intellicode, MDAudit
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 62,400 – 74,880 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Retirement plan
About Managed Resources
A healthcare consulting firm partnering with organizations to improve performance and strengthen revenue cycle operations. — Industry: Consulting Services