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 of hospital inpatient, outpatient, and professional fee coding in a remote capacity, while also contributing to process improvements and educating coding staff.

Key responsibilities:

• Conduct regular quality reviews and audits for various coding types, facilitating the coder audit appeal process as necessary
• Prepare detailed audit reports with findings, recommendations, and corrective actions, while assisting team members with coding inquiries
• Maintain up-to-date knowledge of coding guidelines and regulatory changes, identifying educational opportunities for the coding staff

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 credential (CCS) through AHIMA or AAPC required
• Expert level knowledge of medical coding practices and concepts