Certified Physician Coding Auditor

Job Summary

To ensure accurate reimbursement, the full-time remote Certified Physician Coding Auditor will review and code multi-specialty services while adhering to Medicare, Medicaid, and third-party payer guidelines.

Key responsibilities

• Perform compliance audits of coding and documentation for various provider types and specialties
• Accurately apply coding guidelines, including ICD-10-CM and CPT Coding Guidelines
• Prepare and present audit findings and customized education materials to clients

Required qualifications

• High School diploma required; Associate or BS degree preferred
• Active certification from AHIMA or AAPC (e.g., CCS-P, CPC) is required
• Minimum 5 years of recent physician coding experience and 3 years of auditing experience
• Expert knowledge of E&M and Surgical coding, medical terminology, and billing policies
• Experience creating and implementing audit plans and educating providers