Certified Coding Auditor

Job Summary

Focused on auditing outpatient and specialty claims, the full-time Certified Coding Auditor will manage clinical chart validation and coding accuracy while working remotely, utilizing advanced coding expertise and audit tools to ensure compliance and quality standards.

Key responsibilities

• Audits outpatient and specialty claims using medical chart coding principles and client-specific guidelines
• Effectively utilizes audit tools and maintains productivity and quality standards set by the audit
• Identifies new claim types and recommends new concepts and processes to enhance audit production and client satisfaction

Required qualifications

• Associate or bachelor's degree in Health Information Management (RHIA or RHIT) or equivalent work experience
• Coding certification (e.g., CPC, CIC, CCS, CCS-P, RHIA, or RHIT) required and maintained
• 5 to 7 years of experience in clinical medical record coding or auditing, with knowledge of HIPAA and CMS requirements
• Expert knowledge of coding guidelines, including DRG, ICD-10, CPT, and HCPCS codes
• Ability to work independently and collaboratively in a team environment