Nurse Coder Auditor

Job Summary

To support accurate billing practices, the full-time remote Nurse Coder Auditor will review medical records and claims, validate coding accuracy, and conduct hospital bill audits while ensuring compliance with industry standards and guidelines.

Key responsibilities

• Validate the accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on facility claims
• Review medical records and documentation to ensure billed services are accurately represented
• Conduct hospital bill audits and itemized bill reviews to identify potential coding and billing issues

Required qualifications

• Active coding certification in good standing, such as CCS, CPC, COC, RHIT, or RHIA
• Strong knowledge of CPT, HCPCS, ICD-10, revenue codes, and CMS coding guidelines
• Experience with coding validation, auditing, or claims review
• Ability to review and interpret complex medical documentation
• Knowledge of inpatient coding and billing guidelines, including hospital bill audits