Coding Auditor

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct audits on provider documentation and the assigned CPT and ICD-10 codes.

• Assess if clinical documentation aligns with the diagnoses and procedures billed.

• Detect coding mistakes, documentation gaps, charge-capture challenges, and areas for enhancement.

• Review coding outputs from professional coders, physicians, and other healthcare professionals.

• Offer constructive and educational feedback to providers and coders.

• Provide training on coding requirements, documentation standards, and regulatory updates.

• Remain informed about CMS, state, and payer coding regulations and requirements.

• Work alongside the Coding Supervisor and Regional Medical Directors to enhance documentation and coding accuracy.

• Perform charge entry and Charge Review tasks as necessary.

• Recognize recurring coding patterns such as undercoding and suggest corrective measures.

• Assist in error correction and process improvement initiatives.

• Achieve established daily production and quality benchmarks.

⛳️ Requirements

• Current CPC or CCS coding certification from AAPC or AHIMA.

• Relevant professional experience in coding and/or coding audits.

• A minimum of 2 years in medical billing.

• Experience with Urgent Care or Occupational Health billing.

• Familiarity with insurance payers, accounts receivable, revenue cycle processes, and denied claims.

• Proficient in billing software and electronic medical records.

• High school diploma or equivalent.

• Strong comprehension of medical coding and documentation requirements.

• Excellent critical-thinking and analytical abilities.

• Capability to differentiate between a coding error and a documentation deficiency.

• Strong attention to detail and a commitment to precision.

• Ability to communicate audit findings in a clear and constructive manner.

• Proficient in providing corrective feedback and educating providers and coders.

• Strong organizational skills and the ability to handle a high-volume workload.

• Skill in identifying coding trends and developing effective solutions.

• Ability to stay updated on coding changes and regulatory requirements.

• Positive, collaborative mindset with the ability to thrive in a fast-paced environment.

🏝️ Benefits

• Full-time remote work opportunity.

• Meaningful work that enhances the patient experience.

• Supportive and expanding organization.

• Opportunities to educate providers and coders, contributing to professional growth.

• Collaborative partnership with leadership and medical directors.