New York Licensed Medical Coding Auditor

Job Summary

Auditing facility outpatient and professional fee medical coding across multiple specialties, the full-time New York Licensed Medical Coding Auditor will work remotely to ensure coding accuracy, compliance, and adherence to industry standards.

Key responsibilities

• Audit facility outpatient medical records and professional fee coding for accuracy and compliance
• Review clinical documentation to validate coding assignments and provide feedback to stakeholders
• Conduct quality assurance reviews and complete audit reports within established turnaround times

Required qualifications

• CCS, RHIT, RHIA (AHIMA), CPC, or COC (AAPC) certification
• Minimum of five years of outpatient facility auditing experience, with additional coding experience required
• Experience auditing Evaluation and Management (E/M) services and procedural coding
• Strong knowledge of Federal, State, and payer regulations related to medical coding
• Ability to interpret medical records and clinical documentation effectively