Texas Licensed Senior Medical Coding Auditor

Job Summary

To support the Revenue Cycle Department, the full-time Texas Licensed Senior Medical Coding Auditor will conduct comprehensive reviews and investigations involving coding, documentation, billing, and operational processes while collaborating with various departments to resolve identified issues.

Key responsibilities

• Performs complex reviews and investigations related to coding, documentation, billing, and operational processes
• Conducts audits, medical record reviews, and data validations to determine findings and communicate them to stakeholders
• Tracks corrective actions and ensures effective resolution of identified issues through collaboration with cross-functional teams

Required qualifications

• High school diploma or equivalent required; four-year degree in a related field preferred
• Minimum of seven years of relevant experience in professional fee coding and coding audits required
• Current professional coding certification and auditing credential required
• Strong knowledge of CPT, HCPCS, ICD-10-CM, and reimbursement requirements essential
• Experience with coding and billing systems, electronic medical records, and operational workflows required