Location
Roanoke, VA, United States
Posted
July 18, 2026
Job Description
Description We are looking for a Medical Coding Auditor to support coding appeal efforts for acute care accounts in Virginia. This position focuses on evaluating denied inpatient claims, applying coding standards, and developing well-supported appeal documentation based on clinical records and regulatory guidance. The ideal candidate brings strong judgment, deep knowledge of inpatient coding methodologies, and the ability to communicate findings clearly and effectively.
Responsibilities:
• Review denied inpatient accounts and prepare clear, evidence-based appeal submissions that support code assignment and reimbursement accuracy.
• Analyze clinical documentation alongside coding guidelines and industry regulations to identify discrepancies, compliance concerns, and potential billing issues.
• Use expertise in ICD-10-CM, ICD-10-PCS, and related coding frameworks to validate coding decisions and strengthen appeal outcomes.
• Research payer policies, government guidan...
Responsibilities:
• Review denied inpatient accounts and prepare clear, evidence-based appeal submissions that support code assignment and reimbursement accuracy.
• Analyze clinical documentation alongside coding guidelines and industry regulations to identify discrepancies, compliance concerns, and potential billing issues.
• Use expertise in ICD-10-CM, ICD-10-PCS, and related coding frameworks to validate coding decisions and strengthen appeal outcomes.
• Research payer policies, government guidan...