Wisconsin Licensed Coding Auditor

Job Summary

To ensure compliance with regulatory requirements, the part-time Wisconsin Licensed Coding Auditor will perform coding quality audits, monitor billing and documentation accuracy, and provide education to coding teams and healthcare providers in a remote, flexible schedule environment.

Key responsibilities:

• Conducts compliance monitoring and auditing of coding and documentation for various healthcare services to ensure adherence to regulations
• Prepares compliance audit reports and assists in responding to external audits and inquiries from oversight agencies and payers
• Educates coders and providers on documentation requirements and coding compliance, while staying updated on regulatory changes

Required qualifications:

• High School diploma or GED preferred
• Minimum three years of experience in hospital coding
• Minimum two years of experience in clinical medical audit review
• Current or obtained within one year of hire - Certified Coding Credential from AHIMA or AAPC
• Current or obtained within one year of hire - Certified Clinical Documentation Specialist from ACDIS