Certified Coding Compliance Auditor

Job Summary

Serving as a clinical coding subject matter expert, the full-time remote Certified Coding Compliance Auditor will conduct audits of hospital inpatient, ambulatory surgery, and outpatient encounters to ensure compliance with coding regulations and reimbursement standards.

Key responsibilities

• Audits ICD-10 diagnostic codes and CPT-4 procedure codes for accuracy in various hospital settings
• Provides training and support to coding specialists while monitoring coding quality and productivity rates
• Communicates with hospital departments regarding coding accuracy and assists in resolving documentation issues

Required qualifications

• High School diploma or equivalent with formal training in ICD-10-CM, ICD-10-PCS, and CPT-4 coding
• Minimum of two years of experience in ICD-10-CM/ICD-10-PCS coding at a Level 1 Trauma hospital or four years in inpatient coding
• Experience in ambulatory coding for 2-3 years
• Certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Inpatient Coder (CIC)