Certified Professional Coder (CPC)/Medical Record Auditor

Job Summary
We are seeking a detail-oriented and knowledgeable Coding Auditor to join our prepay auditing team. The ideal candidate will possess a strong understanding of medical coding and terminology, with experience in medical billing and records management. This role is crucial for ensuring accurate coding of medical diagnoses and procedures, which directly impacts the efficiency of investigative audits and reviews. Your resume must reflect experience as noted below. US citizens and legal permanent residents (LPR) only, and must reside in the US for consideration. No brokers or recruiters. If your resume does not specifically reflect your experience in auditing from the payor perspective, you will not be considered.

This is not a “fast learner” position; your resume will be reviewed specifically based on what is documented. CPC-A will not be considered,

Responsibilities

• Accurately audit medical records using CPT/HCPCS and other relevant coding systems.
• Review and analyze patient charts to ensure proper documentation and compliance with coding guidelines, with a focus on multi-disciplinary and behavioral health
• Maintain up-to-date knowledge of medical terminology, coding updates, and regulations.
• Participate in audits and quality assurance processes to improve coding accuracy.

Qualifications

• Proven experience in medical coding, auditing and FWA schemes
• Prior SIU experience of at least three (3years)
• Knowledge of medical terminology and anatomy.
• Ability to work independently while managing multiple tasks effectively.
• Excellent attention to detail and organizational skills.
• Certification in Medical Coding (e.g., CPC, CPMA) is required. No CPC-A option for this project.
• Prior experience with Facets a plus
• Join our team as a Coding Auditor where your expertise will contribute significantly to our commitment to providing exceptional healthcare services.

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

Application Question(s):

• Have you worked in the payor environment previously? Specifically have conducted audits on behalf of a payor?

Experience:

• auditing/coding: 3 years (Required)

License/Certification:

• Certified Professional Coder (Required)

Work Location: Remote