New Mexico Licensed Pro Fee Auditor

Job Summary

To support a growing healthcare team, the full-time Remote Hybrid Pro Fee Auditor/Educator will manage coding compliance, conduct audits, and develop educational programs while working from a hybrid environment.

Key responsibilities

• Conduct internal audits and reviews to ensure compliance with coding and documentation standards
• Develop and present educational programs and tools to maintain regulatory compliance across departments
• Research and address coding, billing, and compliance issues, implementing corrective action plans as necessary

Required qualifications

• High school diploma/GED required; must possess RHIT, RHIA, CPC, or CCS certification
• Minimum of three years of experience in coding and/or auditing
• Proficient knowledge of Medicare, Medicaid, and third-party payer regulations
• Strong understanding of medical terminology, ICD-9, CPT-4, and HCPCS coding systems
• Excellent organizational skills with the ability to prioritize multiple tasks effectively