To support the Revenue Cycle team, the part-time Certified Coding Compliance Auditor will conduct audits of medical coding practices, ensuring accuracy and compliance with regulatory requirements while collaborating with clinical and revenue cycle teams in a remote setting.
Key responsibilities
Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes
Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements
Track and report coding errors, maintaining detailed records of audit findings
Required qualifications
Associate's degree in a related field
3+ years of coding/auditing experience in professional fee and/or risk adjustment settings
Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS)
CPC certification through AAPC and/or CCS certification through AHIMA required
CPMA and CRC certification through AAPC required