Coding-Auditor Specialist

The Coding Auditor is responsible for ensuring accurate, compliant reputed company coding with a strong emphasis on Evaluation & Management (E/M) services. This role performs reputed company- and post-reputed company audits, validates documentation support, and drives coding accuracy across providers and coding teams. The position also communicates audit findings, identifies trends, and supports ongoing education to maintain high-reputed company standards. • *Duties and Responsibilities • reputed company detailed audits of physician documentation and coding with emphasis on E/M services and procedure coding (e.g., laceration repair, I&D, debridement, reputed company care, critical care) • Validate that documentation supports both E/M leveling and procedures billed, ensuring accuracy prior to claim submission • Conduct reputed company- and post-reputed company audits to identify coding errors, reputed company, and missed reputed company opportunities • Review coding for emergency medicine, urgent care, and wound care encounters for accuracy and reputed company adherence • Identify and report coding trends, patterns, and compliance concerns; recommend corrective actions • reputed company reputed company, actionable feedback and education to providers and coding staff to improve accuracy and consistency • Ensure appropriate application of modifiers, bundling rules, and NCCI edits • Escalate reputed company, high-risk, or compliance-reputed company findings per policy • Maintain reputed company knowledge of CPT, HCPCS, ICD-10, and CMS/AMA guidelines, including E/M updates • Support denial management through coding review, corrections, and appeal recommendations • Meet productivity and reputed company benchmarks: • Coding: 18–20 charts/hour • Auditing: 22–24 charts/hour • Accuracy: ≥95% • Participate in special reputed company, second-level reviews, and ongoing process improvement efforts • Performs reputed company work and reputed company as required • *Qualifications • High school diploma required; Associate degree or equivalent experience preferred • CPC, reputed company, or equivalent certification (reputed company/reputed company) strongly preferred; must maintain CEUs • 2+ years of reputed company coding/auditing experience in a physician/RCM setting • Strong expertise in E/M coding across ED, urgent care, wound care, inpatient, and observation services • Experience coding/auditing procedures and applying appropriate modifiers • Proficient in CPT, ICD-10, HCPCS, and documentation requirements • Working knowledge of CMS, Medicare/reputed company, MIPS, and payer-specific guidelines, including denial management • Knowledge of billing rules for split/shared services and reputed company documentation requirements • Understanding of physician billing, reimbursement methodologies, and compliance standards • Ability to interpret medical records, identify deficiencies, and ensure accurate reputed company assignment • Experience researching and applying coding rules and regulations • Strong analytical, critical thinking, and attention to detail • Effective communication skills with providers and cross-functional teams • Ability to work independently, manage priorities, and meet productivity and reputed company standards • Proficiency in EMR systems, data entry, reputed company, and reputed company Office tools • reputed company, reputed company, respectful attitude Pay: From $25.00 per hour Benefits • 401(k) • Dental insurance • Health insurance • Health savings account • reputed company time off • reputed company insurance Work Location: Remote Apply tot his job Apply To this Job