Certified Medical Coding Auditor

Job Summary

Working remotely, the full-time Certified Medical Coding Auditor will determine the accuracy of claims submitted by providers, analyze medical records, and ensure compliance with coding requirements and policies.

Key responsibilities

• Perform clinical reviews of CPT, HCPCS, and modifiers assigned to claims
• Analyze and determine the accuracy of medical coding and payment recommendations
• Identify aberrant billing patterns and ensure adherence to compliance policies

Required qualifications

• Certified Coder AHIMA (CCA, CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I)
• 2+ years of experience as an AHIMA or AAPC Certified coder
• 2+ years of CPT/HCPCS/Modifiers coding experience
• 2+ years of strong medical record review experience
• 1+ year of experience in a metric-driven team environment