California Licensed Coding Auditor

Job Summary

To ensure compliance with coding guidelines, the full-time California Licensed Coding Auditor will perform quality reviews and audits for hospital inpatient, outpatient, and professional fee coding while working remotely.

Key responsibilities:

• Conduct regular quality reviews and audits according to departmental policies for various coding types
• Prepare detailed audit reports with findings and recommendations, facilitating the coder appeal process as needed
• Maintain up-to-date knowledge of coding guidelines and identify educational opportunities for team members

Required qualifications:

• High School Education/GED or equivalent required; Associate's/Technical Degree preferred
• Five years of acute care inpatient, outpatient coding experience, and/or professional fee coding required
• Three years of coding auditing/monitoring experience preferred
• Certified Coding Specialist (CCS) credential through AHIMA or AAPC required
• Expert level knowledge of medical coding practices and concepts