Certified Professional Fee Auditor

Job Summary

To ensure compliance and accuracy in coding, the full-time Certified Professional Fee Auditor will perform coding quality audits of professional fee services, provide actionable feedback to providers and coding staff, and maintain up-to-date knowledge of coding guidelines.

Key responsibilities

• Conduct coding audits of professional fee records to evaluate documentation quality and compliance with guidelines
• Develop and coordinate education and training on coding best practices and trends identified during audits
• Prepare written reports of audit findings and meet with providers or coders to recommend improvements

Required qualifications

• Active coding credential: CPC or AHIMA coding credential
• 3+ years of coding experience in physician coding and billing
• Working knowledge of CMS coding and documentation rules and regulations
• Extensive knowledge of federal, state, and payer-specific regulations related to documentation and coding
• Strong understanding of CPT-4, ICD-10, and HCPCS coding