CPC Certified ED Billing Auditor

Job Summary

A company is looking for an ED Billing Auditor.

Key Responsibilities

• Conduct audits of ED billing and coding for accuracy, completeness, and compliance
• Review provider documentation to ensure it supports billed services and appropriate E/M levels
• Prepare detailed audit reports with findings, trends, and actionable recommendations

Required Qualifications

• 3+ years of experience in medical billing or coding, focusing on Emergency Department services
• Certification required: CPC, CPMA, or CCS-P (AHIMA or AAPC)
• In-depth knowledge of E/M guidelines, NCCI edits, and CMS billing rules
• Strong familiarity with coding for ED services, including trauma activations and critical care
• Experience using EMR and billing systems such as CMD, Change Healthcare, EPD, or GoRev