Certified Physician Auditor

Job Summary

A company is looking for a Physician Auditor / Coder.

Key Responsibilities

• Perform audits of E/M coding and documentation compliance for healthcare providers
• Accurately apply coding and documentation guidelines, including CPT and ICD-10 CM coding
• Evaluate physician documentation quality and adherence to medical necessity and coverage determinations

Required Qualifications

• High school diploma required; Associate's Degree preferred
• Completion of an AHIMA or AAPC certified program with relevant professional credentials (CCS, CPC, etc.)
• CPMA certification is required
• Minimum of 3 years of physician coding experience and 3 years of E/M and surgical auditing experience
• Proficient knowledge of medical terminology and Medicare/Medicaid billing policies