Certified Coding Auditor

Focused on Coding & Clinical Chart Validation, the full-time Certified Coding Auditor will conduct audits of outpatient and specialty claims, ensuring coding accuracy and compliance with medical necessity and treatment appropriateness. Key responsibilities Audits outpatient and specialty claims using medical chart coding principles and client-specific guidelines Utilizes advanced audit tools and maintains productivity and quality standards in auditing processes Identifies new claim types and recommends improvements to enhance audit production and client satisfaction Required qualifications Associate or bachelor's degree in Health Information Management (RHIA or RHIT) or equivalent experience Coding certification (e.g., CPC, CIC, CCS, CCS-P, RHIA, or RHIT) required and maintained 5 to 7 years of experience in clinical medical record coding or auditing, with knowledge of HIPAA and CMS requirements Expert knowledge of coding guidelines, including DRG, ICD-10, CPT, and HCPCS codes Ability to work independently and collaboratively in a team environment