California Licensed Documentation Auditor

Job Summary

To enhance coding integrity and ensure compliance with regulatory standards, the full-time California Licensed Documentation Auditor will conduct audits, reviews, and special projects remotely, focusing on the accuracy and quality of coding and documentation across assigned lines of business.

Key responsibilities:

• Conduct audits and reviews to monitor coding accuracy and compliance with state and federal guidelines
• Prepare detailed audit reports and collaborate with cross-functional teams to identify risks and improvement opportunities
• Develop and implement processes and workflows that align with regulatory requirements and organizational goals

Required qualifications:

• Minimum two years of experience in ICD-10, CPT, and HCPCS coding, including chart auditing
• Associate's degree in Health Information Management, Health Care Administration, or a related field, or equivalent experience
• Registered Health Information Technician, Certified Coding Specialist - Physician Based, or equivalent certification required at hire
• Experience in health care compliance, operations, audit, or medical record review
• Strong knowledge of coding and documentation guidelines and regulations