Certified Coding Auditor

Job Summary

Detail-oriented and certified, the full-time remote Certified Coding Auditor will execute routine coding reviews to ensure health records align accurately with billed codes, while maintaining knowledge of coding guidelines and regulatory policies.

Key Responsibilities

• Compare billed procedures and codes to medical records for accuracy
• Document findings for each claim line and summarize results 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 medical coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
• Familiarity with medical terminology and specialty practices
• Ability to meet defined performance and production goals