Certified Coding Auditor

Job Summary

To ensure accurate alignment of health records with billed codes, the full-time remote Certified Coding Auditor will conduct routine coding reviews, document findings, and maintain knowledge of coding guidelines under the supervision of management.

Key Responsibilities

• Compare billed procedures and codes to medical records for accuracy
• Document findings for each claim line and summarize them in written reports
• Maintain current knowledge of coding guidelines and relevant regulations

Required Qualifications

• Minimum of one year of investigative experience
• Certification as CPC, CCS, or CCA is required
• Strong knowledge of CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
• Proficiency in medical terminology
• Ability to meet defined performance and production goals