Certified Coding Auditor

Job Summary

Conducting quality audits remotely, the full-time Certified Coding Auditor will ensure accuracy in medical diagnostic codes submitted to CMS and other entities by auditing data, claim submissions, and medical records for compliance and completeness.

Key responsibilities

• Audits data and claim submissions for accuracy and compliance, documenting findings as per departmental procedures
• Identifies patterns of noncompliance and recommends resolutions while evaluating the quality of medical coding
• Collaborates with other departments to enhance compliance with coding conventions and supports continuous improvement initiatives

Required qualifications

• Coding certification from AAPC, CPC, or AHIMA
• High school diploma or GED
• Previous relevant experience preferred
• Knowledge of ICD10 and medical terminology related to anatomy and pathophysiology
• Intermediate skills in Outlook, basic skills in Word, Excel, PowerPoint, and Adobe Acrobat