Professional Coding Auditor
RemoteUnited States
United StatesRemoteFull TimeLarge
Full TimeLarge
Job Summary
Conduct coding audits of provider documentation and assigned CPT and ICD-10 codes to ensure accuracy, completeness, and compliance. Evaluate clinical documentation support for billed diagnoses and procedures, identifying errors, deficiencies, and charge-capture issues. Review deliverables from coders and physicians, providing constructive educational feedback on requirements and regulatory updates. Collaborate with leadership to identify trends such as undercoding and recommend corrective actions for process improvement. Stay current on CMS and payer regulations while meeting daily production and quality 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 is a plus
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