Revenue Cycle Managed Services Coding Auditor

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

📋 Description

• Conduct routine, specialized, and validation audits of professional coding across various specialties.

• Assess coding accuracy, documentation support, compliance requirements, and reimbursement implications.

• Analyze audit results and deliver clear, actionable feedback.

• Observe coding trends and pinpoint opportunities for quality improvement.

• Monitor coding issues and trends, escalating them to the Team Lead or Manager as necessary.

• Perform root cause analysis on coding mistakes and recurring problems.

• Document and report audit outcomes, quality metrics, and performance trends.

• Act as a coding resource and mentor for coding personnel.

• Create and conduct educational sessions for individuals and groups.

• Assist in onboarding and training new coding staff.

• Develop educational materials, reference guides, and coding resources.

• Function as the primary coding subject matter expert for designated clients.

• Engage in client meetings, offering guidance on coding, documentation, and compliance inquiries.

• Investigate complex coding scenarios and relay recommendations.

• Support leadership in the development and implementation of coding policies.

• Provide assistance with production coding during peak volumes, staffing shortages, or operational demands.

• Accurately and efficiently complete coding work queues.

• Review coding-related denials and identify avenues for appeal or correction.

• Collaborate with coding, revenue cycle, and operations teams to mitigate denial trends.

• Aid in payer audit responses and documentation evaluations.

• Stay updated on coding regulations, industry changes, and payer modifications.

• Participate in both internal and external audits.

• Suggest process enhancements.

• Contribute to special projects, client initiatives, and operational requirements.

⛳️ Requirements

• A minimum of 3–5 years of experience in medical coding auditing.

• In-depth knowledge of CPT, ICD-10-CM, HCPCS, and payer-specific guidelines.

• Proven experience in conducting coding audits and providing audit feedback.

• Capability to interpret medical documentation and apply precise coding principles.

• Exceptional written and verbal communication abilities.

• Strong analytical, organizational, and problem-solving skills.

• Ability to work independently while managing multiple priorities.

🏝️ Benefits

• Remote-friendly work arrangement.

• Flexible scheduling based on project needs.

• Eligibility for annual performance bonuses may apply for salaried positions.

• Opportunities for professional development.

• Supportive and inclusive workplace culture.

• Initiatives promoting diversity and inclusion.