Medical Coding Auditor, CPC, CPMA

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Conduct daily quality assurance to verify the precision of completed coding and provide focused coding education and feedback.

• Assess ICD‑10‑CM, CPT®, HCPCS, and modifier assignments against clinical documentation to ensure accuracy and adherence to compliance standards.

• Execute medical chart audits for professional services across various specialties.

• Detect coding inconsistencies, compliance risks, trends, root causes, and documentation deficiencies.

• Facilitate coding education through constructive feedback, targeted training sessions, and reference materials.

• Compile clear and defensible audit documentation, including rationale and references.

• Offer actionable recommendations to address audit findings and mitigate future risks.

• Monitor audit outcomes and trends to support leadership reporting and risk management strategies.

• Aid in denial prevention, resolution, and appeal strategies.

• Collaborate with teams to provide coding support.

• Uphold confidentiality and adhere to HIPAA and organizational policies.

⛳️ Requirements

• CPC certification (Required)

• CPMA certification (Required/In Process)

• Minimum of 2 years of professional fee auditing experience.

• Familiarity with E/M documentation guidelines.

• Knowledge of modifier rules and NCCI edits.

• Proficient in CPT, ICD‑10‑CM, and HCPCS Level II.

• Exceptional attention to detail, paired with strong analytical and critical-thinking abilities.

• Excellent written and verbal communication skills for audit reporting and educational purposes.

• Proficient in electronic health records (EHRs), coding, and auditing tools.

• Skilled in Microsoft Office Suite.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Company-paid life insurance.

• Retirement savings plan.

• Paid holidays and vacation.