Certified Coding Audit Manager

Job Summary

Overseeing a team of clinician auditors, the fully remote Certified Coding Audit Manager will analyze denied claims related to coding and documentation, ensure compliance with federal regulations, and implement corrective actions to reduce future denials.

Key responsibilities

• Review and analyze coding denials to identify root causes and implement corrective actions
• Develop and maintain regular reporting on coding-related denials and communicate findings to leadership
• Monitor coding productivity and quality metrics to identify performance trends and opportunities for improvement

Required qualifications

• Bachelor's degree or equivalent required
• Minimum of 6 years of experience in medical coding and billing, focusing on denial management
• Prior experience supervising or leading a team
• Familiarity with various payer guidelines, including Medicare and Medicaid
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required