Medical Coding Auditor

To ensure accurate reimbursement, the full-time remote Certified Physician Coding Auditor will review and code multi-specialty services while adhering to Medicare, Medicaid, and third-party payer guidelines. Key responsibilities Perform compliance audits of coding and documentation for various provider types and specialties Accurately apply coding guidelines, including ICD-10-CM and CPT Coding Guidelines Prepare and present audit findings and customized education materials to clients Required qualifications High School diploma required; Associate or BS degree preferred Active certification from AHIMA or AAPC (e.g., CCS-P, CPC) is required Minimum 5 years of recent physician coding experience and 3 years of auditing experience Expert knowledge of E&M and Surgical coding, medical terminology, and billing policies Experience creating and implementing audit plans and educating providers