California Licensed Medical Auditor

Job Summary

To ensure compliance and accuracy in medical coding, the full-time California Licensed Medical Auditor will conduct routine audits, provide education to coders and providers, and assist with audit preparation while working remotely.

Key responsibilities

• Conduct routine and focused audits of medical coding to ensure compliance with standards
• Develop and deliver education and feedback to improve documentation quality and coding accuracy
• Maintain audit tracking logs and prepare detailed audit reports with actionable findings

Required qualifications

• Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification
• Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance role
• Strong understanding of HCC/risk adjustment coding principles and clinical documentation improvement
• Excellent command of medical terminology, anatomy, and coding practices
• Proficient in EHR systems and coding software