Certified Physician Coding Auditor

Job Summary

To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities.

Key responsibilities

• Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies
• Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff
• Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards

Required qualifications

• High School diploma or equivalent
• CPMA certification or equivalent coding credential required, with five years of auditing experience preferred
• Five years of professional coding experience in multiple specialties
• Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS
• Proficiency in Microsoft Office Suite and experience with Electronic Medical Records, preferably EPIC