Coding Auditor

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

📋 Description

• Conduct audits on coding for provider documentation along with assigned CPT and ICD-10 codes.

• Assess whether clinical documentation adequately supports the diagnoses and procedures that are billed.

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

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

• Offer constructive and educational feedback to providers and coders.

• Provide instruction on coding requirements, documentation standards, and updates on regulations.

• Remain updated on CMS, state, and payer coding regulations and requirements.

• Collaborate with the Coding Supervisor and Regional Medical Directors to enhance documentation and coding precision.

• Execute charge entry and Charge Review tasks as necessary.

• Recognize undercoding and ongoing coding patterns and suggest corrective measures.

• Assist in error correction and initiatives for process improvement.

• Achieve established daily production and quality benchmarks.

⛳️ Requirements

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

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

• Over 2 years of experience in medical billing.

• Experience in billing for Urgent Care or Occupational Health.

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

• Proficiency with billing software and electronic medical records.

• High school diploma or equivalent qualification.

• Strong grasp of medical coding and documentation standards.

• Exceptional critical-thinking and analytical abilities.

• Capability to differentiate between coding errors and documentation deficiencies.

• Keen attention to detail and dedication to precision.

• Ability to communicate audit results clearly and constructively.

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

• Strong organizational skills and capacity to manage a high-volume workload.

• Aptitude for identifying coding trends and formulating practical solutions.

• Commitment to staying updated with coding modifications and regulatory requirements.

• Positive, collaborative mindset and the ability to work effectively in a fast-paced setting.

🏝️ Benefits

• Full-Time Remote position.

• Engaging work within a supportive and expanding organization.

• Chance to create a significant impact.

• Opportunities for professional education and collaboration through provider and coder training.