Coding & Documentation Compliance Specialist (CPC/CPMA)

We are seeking an experienced Coding & Documentation Compliance Specialist to strengthen coding accuracy, documentation integrity, and reimbursement compliance within a physician-led healthcare environment. In this remote, independent contractor role, you will ensure that clinical documentation fully supports billed services while identifying opportunities to improve coding practices and revenue integrity. You will conduct prospective code evaluations, retrospective chart audits, and targeted reviews across providers and service lines. Working closely with clinical teams, billing professionals, and medical leadership, you will translate audit findings into practical documentation guidance, workflow improvements, and staff education. You will also contribute to Merit-based Incentive Payment System (MIPS) reporting and quality-measure compliance. This opportunity is ideal for a detail-oriented coding professional with strong Medicare expertise who can combine hands-on auditing with actionable recommendations that support high-quality, compliant patient care.

• Current Certified Professional Coder (CPC) certification through AAPC or Certified Coding Specialist–Physician-based (CCS-P) certification through AHIMA.

• Certified Professional Medical Auditor (CPMA) certification strongly preferred, or equivalent demonstrated experience conducting medical chart audits.

• At least five years of experience coding outpatient evaluation and management (E/M) services, including direct auditing responsibilities.

• Strong understanding of Medicare billing requirements, particularly telehealth rules and documentation standards.

• Experience supporting MIPS reporting and documenting quality measures in accordance with applicable requirements.

• Strong knowledge of outpatient coding, documentation integrity, coding accuracy, and compliant reimbursement practices.

• Demonstrated ability to identify coding and documentation deficiencies, assess risk, and develop practical corrective recommendations.

• Excellent analytical, organizational, and communication skills, with the ability to explain complex coding requirements clearly to clinicians and billing professionals.

• Must be based in the United States and have substantial experience working with Medicare.

• Experience in obesity medicine, endocrinology, or primary care is an advantage.

• Familiarity with OIG self-disclosure processes or responding to payer audits is desirable.

• Experience developing clinical documentation templates, clinician reference guides, or coding cheat sheets is a plus.

• Ability to work independently, manage ongoing audit cycles, and collaborate effectively with medical leadership and cross-functional teams.