Certified Medical Coding Auditor

Job Summary

A company is looking for a Medical Coding Auditor - Inpatient (OIG Focus) with clearance required.

Key Responsibilities

• Audit medical records for accurate coding of diagnoses, procedures, and services
• Ensure compliance with federal, state, and payer-specific coding regulations and guidelines
• Identify discrepancies and coding errors, providing feedback and collaboration for corrections

Required Qualifications

• High school diploma or equivalent GED required
• Associate's or Bachelor's degree in Health Information Management, Medical Coding, or related field preferred
• Active certification required (CPC, CCS, or equivalent)
• At least three years of direct experience in coding/auditing and medical chart review
• Prior auditing experience in a provider or payer setting is desirable