Medical Coding Auditor

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Requirements:

• A current AAPC or AHIMA coding certification(s).
• 3+ years of recent auditing experience in procedure and diagnosis codes.
• 3+ years of recent auditing experience in emergency department, primary care, and/or E/M leveling.
• 3+ years of recent auditing experience in a professional fee outpatient setting.
• Experience in a professional fee and/or facility setting.
• Deep understanding of current coding and reimbursement guidelines.
• Strong knowledge of anatomy/physiology, diseases, and medical terminology.
• Strong verbal and written communication skills.
• Enthusiasm for technological innovation in medical coding.

Responsibilities:

• Reviewing medical records across various outpatient specialties to ensure correct diagnosis and procedure codes are assigned.
• Performing audits on physician documentation to determine accuracy.
• Preparing audit results reports as requested by engineering and client success teams.
• Providing coding insights, education, and examples to accelerate product development.
• Tracking, aggregating, and summarizing changes in coding and billing rules.