Medical Coding Auditor

This is a fully remote position, open to applicants in Alabama, +44 more locations.

📋 Description

• Conduct reviews and audits of documentation and coding across various specialties

• Ensure precision through the proper application of CPT, ICD-10-CM, HCPCS, and modifiers

• Generate audit reports

• Provide educational resources for providers

• Assist coders in addressing identified compliance issues

• Fulfill coding duties as necessary to align with team priorities

• Collaborate with physicians and healthcare professionals

⛳️ Requirements

• 3–5 years of coding experience within a physician billing environment

• In-depth knowledge of ICD-10, CPT-4, and HCPCS coding

• Familiarity with current E/M guidelines and specifications

• Experience with reimbursement and billing involving Medicare Part B, Medicaid, and other third-party payers is highly desirable

• Knowledge of data entry processes in a physician billing context

• Understanding of billing platforms and claims workflows within the revenue cycle

• Strong analytical abilities

• Intermediate to advanced proficiency in Excel

• High school diploma or equivalent is required

• Additional coursework from recognized coding seminars or programs is preferred

• Current coding certification from AAPC or AHIMA, such as RHIT, CCS, CPC, etc. is mandatory

• Ability to perform sedentary work, including prolonged sitting and occasionally lifting up to 10 pounds

• Experience with Epic software is a plus

• An auditing certification (CCA, CPMA, or Certified Professional Medical Auditor) is an added advantage

🏝️ Benefits

• Opportunities to enhance your skills and mentor others

• Autonomy and ownership of projects with adequate support

• A collaborative, innovative, and people-focused culture