Certified Coding Compliance Auditor

Job Summary

To support the Revenue Cycle team, the part-time Certified Coding Compliance Auditor will conduct audits of medical coding practices, ensuring accuracy and compliance with regulatory requirements while collaborating with clinical and revenue cycle teams in a remote setting.

Key responsibilities

• Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes
• Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements
• Track and report coding errors, maintaining detailed records of audit findings

Required qualifications

• Associate's degree in a related field
• 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings
• Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS)
• CPC certification through AAPC and/or CCS certification through AHIMA required
• CPMA and CRC certification through AAPC required