Professional Coding Auditor
RemoteUnited States
United StatesRemoteFull TimeSmall
Full TimeSmall
Job Summary
Conduct comprehensive coding audits of provider documentation to verify accuracy, completeness, and compliance with assigned CPT and ICD-10 codes. Evaluate clinical support for billed diagnoses and procedures while identifying errors, charge-capture issues, and documentation deficiencies. Provide constructive feedback to providers and coders, deliver education on regulatory updates, and collaborate with leadership to improve coding quality and reimbursement. Identify recurring trends such as undercoding and recommend corrective actions to meet daily production standards.
Required Qualifications
- Active CPC or CCS coding certification through AAPC or AHIMA
- Relevant professional coding and/or coding auditing experience
- 2+ years of medical billing experience
- Urgent Care or Occupational Health billing experience
- Experience working with insurance payers, A/R, revenue cycle processes, and denied claims
- Experience with billing software and electronic medical records
- High school diploma or equivalent
Desired Qualifications
- Epic experience
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.