Remote Coding Compliance Auditor

Job Overview

Virelia Health connects coding compliance auditors with opportunities across coding audits, compliance review, and remote coding quality assurance.

We are seeking qualified Coding Compliance Auditors for remote opportunities supporting hospitals, health systems, physician groups, health plans, coding vendors, and compliance organizations.

A Remote Coding Compliance Auditor performs coding audits, reviews coding compliance, and supports audit defense for healthcare organizations. Working within their auditing certification and coding compliance scope, the coding compliance auditor reviews coded records, validates code assignment against documentation and coding guidelines, identifies compliance risks, and supports audit readiness for RAC, RADV, MIC, and payer audits.

This position is well-suited to an experienced coding auditor with coding audit knowledge, compliance review experience, and auditing certification who wants to work in a virtual setting — providing meaningful coding compliance support with schedule flexibility and without the demands of a facility-based environment.

The specific audit focus (facility, professional, risk adjustment), audit volume, and scope of responsibilities will depend on the employer and assignment.

This opportunity may be suitable for professionals searching for remote coding compliance auditor jobs, work-from-home coding auditor jobs, remote coding audit jobs, virtual coding compliance auditor, or telehealth coding auditor roles.

What You'll Do

As a Remote Coding Compliance Auditor, you may support coding compliance across a range of virtual audit encounters.

• Perform coding audits — auditing coded records against documentation and coding guidelines.
• Validate code assignment — confirming ICD-10-CM, CPT, HCPCS, DRG, and APC code accuracy.
• Review coding compliance — reviewing coding practices for compliance with CMS and payer requirements.
• Identify coding risks — identifying coding compliance risks and documentation gaps.
• Support audit defense — supporting RAC, RADV, MIC, and payer audit defense.
• Prepare audit reports — preparing audit findings and compliance reports.
• Support audit readiness — supporting audit readiness and audit preparation.
• Support coding quality assurance — supporting coding quality assurance programs.
• Support coding education — supporting coding education based on audit findings.
• Support policy and procedure review — supporting coding policy and procedure development.
• Support external audit response — supporting responses to external audit requests.
• Document audit work accurately in the audit system and audit documentation.
• Coordinate with compliance teams, coding teams, and clinical documentation teams as needed.
• Support coding compliance — maintaining coding compliance with CMS, OIG, and payer requirements.
• Participate in compliance quality improvement and audit quality improvement.
• Maintain current knowledge of ICD-10-CM, CPT, HCPCS, DRG, APC, coding guidelines, and audit requirements.
• Protect patient data and maintain HIPAA compliance across all virtual coding audit work.

Virtual Coding Compliance Auditor Focus

Virtual coding compliance auditing is a growing area of healthcare compliance — driven by increased audit activity, expanded telehealth coverage for remote audit work, and the recognition that coding auditors improve coding accuracy and compliance through independent coding audits. Virtual coding auditors extend compliance reach, support hospitals and health plans, and improve coding compliance across organizations.

Depending on the program, virtual coding compliance auditing may focus on:

The coding compliance auditor's role is to provide coding audits within their auditing certification and coding compliance scope — including coded record review, code validation, coding compliance review, audit reporting, and coding education support. Clinical decisions, patient care decisions, and clinical documentation decisions remain with clinical leadership and provider documentation; the coding compliance auditor supports the compliance process and coordinates with compliance, coding, and clinical documentation teams.

This structure keeps the role focused on coding audits, compliance review, coding quality assurance, audit reporting, and coding education support.

Coding Audit & Compliance Review Support

Effective virtual coding compliance auditing depends on strong coding audit skills and compliance knowledge — the auditor's auditing expertise and compliance insight determine how to help healthcare organizations achieve coding accuracy and audit readiness.

Depending on the program and audit focus, you may support coding compliance by:

• Performing coding audits — auditing coded records against documentation.
• Validating code assignment — ICD-10-CM, CPT, HCPCS, DRG, and APC codes.
• Reviewing coding compliance — CMS and payer requirements.
• Identifying coding risks — compliance risks and documentation gaps.
• Supporting audit defense — RAC, RADV, MIC, and payer audits.
• Preparing audit reports — audit findings and compliance reports.
• Supporting audit readiness — audit readiness and audit preparation.
• Supporting coding quality assurance — coding QA programs.
• Supporting coding education — coding education based on audit findings.
• Supporting policy and procedure review — coding policy and procedure development.
• Documenting audit work accurately and consistently.
• Supporting compliance quality improvement and audit quality improvement.

Auditing expertise, compliance knowledge, and clear communication are essential — coding compliance auditors are the compliance professionals who help healthcare organizations achieve coding accuracy and audit readiness.

Virtual Coding Compliance Auditor Workflow

A Remote Coding Compliance Auditor may follow a structured workflow across each virtual audit encounter.

Depending on the employer's protocols, you may:

Required Qualifications

• Previous experience as a coding compliance auditor, coding auditor, or coding quality reviewer.
• CPMA (Certified Professional Medical Auditor), CPC, CCS, or equivalent auditing certification required.
• Strong coding audit knowledge, compliance review skills, and coding quality assurance experience.
• Comfortable with ICD-10-CM, CPT, HCPCS, DRG, APC, and coding audit workflows.
• Strong documentation and time-management skills.
• Ability to work independently in a remote environment.
• Ability to maintain confidentiality and HIPAA compliance.
• Reliable internet and a private workspace suitable for confidential audit work.

Preferred Qualifications

Experience or certification in any of the following may be beneficial:

Skills & Competencies

Coding Audit Skills

Communication & Engagement

Digital Health & Technology

A Typical Day

A typical day may begin by reviewing audit assignments and audit queues — checking coding audit priorities and audit production tasks.

You'll review coded records — reviewing coded records against documentation to validate code accuracy and identify compliance risks.

You'll validate code assignment for ICD-10-CM, CPT, HCPCS, DRG, and APC codes, prepare audit findings, and support audit defense for RAC, RADV, MIC, and payer audits.

Between audit activities, you'll support coding quality assurance, coding education, and policy and procedure review, and document audit work accurately in the audit system.

Throughout the day, you'll coordinate with compliance teams, coding teams, and clinical documentation teams, and support coding compliance with CMS, OIG, and payer requirements.

The role combines coding audits, compliance review, coding quality assurance, audit defense, documentation, and coding education support.

Unlike coding educator work, which focuses on coding training and education, coding compliance auditor work focuses specifically on independent coding audits and compliance review — you're the auditor who helps healthcare organizations achieve coding accuracy and audit readiness.

Remote Work Environment

This position is designed for remote coding audit delivery.

Depending on the employer, you may work with:

Candidates should have a stable internet connection suitable for audit system remote access, a private workspace suitable for confidential audit work, and comfort with multiple audit and compliance systems.

Certification & Eligibility

Remote coding compliance auditor roles are currently in highest demand in states with large hospital networks, health plans, physician groups, and healthcare compliance investment:

Top-demand states: California, Texas, Florida, New York, Pennsylvania, Ohio, Illinois, Michigan, Georgia, North Carolina, Arizona, Colorado.

Strong secondary markets: Connecticut, Indiana, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, Tennessee, Virginia, Washington, Wisconsin.

Coding compliance auditors must maintain current CPMA certification (Certified Professional Medical Auditor) or equivalent, plus CPC, CCS, or another coding certification. Some employers require additional certifications; others accept CPMA with relevant coding audit experience. Requirements vary by employer. Always confirm the specific certification requirements with the employer before applying.

Want to know which states accept remote healthcare roles? Read our remote healthcare licensure guide.

Compensation & Benefits

This position offers $32–$54 per hour, based on experience, geographic location, auditing certification, and assignment requirements. Remote coding compliance auditor roles typically offer scheduled weekday work and structured audit cycles.

Benefits are assignment-specific and may vary depending on whether the opportunity is full-time, part-time, contract, or direct hire. Depending on the employer, benefits may include:

Why Consider Remote Coding Compliance Auditor Work?

Virtual coding compliance auditing is expanding rapidly — driven by increased audit activity, expanded telehealth coverage for remote audit work, and the recognition that coding auditors improve coding accuracy and compliance through independent coding audits.

Many coding compliance auditors find remote auditor roles appealing because they offer:

• Meaningful compliance impact — you're helping healthcare organizations achieve coding accuracy and audit readiness.
• Predictable work schedule — structured weekday work without facility floor assignments or physical demands.
• Compliance career pathway — experience translates into compliance leadership, coding compliance management, and audit program management.
• No facility pressures — no unit staffing concerns, no physical demands, no rotating floor coverage.
• Growing employer demand — hospitals, health systems, physician groups, health plans, coding vendors, and compliance organizations are all hiring remote coding compliance auditors.

It may be particularly suitable for coding compliance auditors with coding audit knowledge, compliance review experience, and auditing certification who want to practice in a structured virtual setting with predictable schedules.