Certified Coding Quality Auditor

Job Summary

A company is looking for a Coding Quality Assurance Auditor.

Key Responsibilities

• Conduct coding audits to assess the proper use of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes
• Document and report issues identified during auditing processes according to the RCS audit policy
• Support the coding department by proactively auditing team performance and compliance

Required Qualifications, Training, and Education

• High School Diploma or GED required
• Five years of professional coding experience required, with a minimum of two years in auditing for coding compliance/accuracy
• CPC, CCS, or RHIT certification required; CPMA preferred
• Extensive knowledge of coding principles, reimbursement systems, and relevant regulations
• Experience with medical documentation and coding risk analysis preferred