Aug 19, 2026

Coding Auditor - Ambulatory/Professional Coding/Profee

Job Description

Coding Auditor – Ambulatory/Professional Coding/ProfeeHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future.The Coding Auditor – ambulatory/professional coding/profee will be responsible for auditing of coders and coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Coding Auditor – ambulatory/professional coding/profee will report to the Huron Managed Services Domestic Coding team.Key Responsibilities:Knows, understands, incorporates, and demonstrates Huron's Vision, and Values in behaviors, practices, and decisions.Coding Auditor Responsible for the auditing of coders and/or "audit the auditors" to ensure coding accuracy of a minimum of 95% is met.Perform quality checks/audits on visits coded as per client SOPs.Perform calibration audits.Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders.May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings.Firm understanding of the clinical documentation guidelines.Monitor compliance of coding guidelines and ensure errors are identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance.Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format. Utilizes encoder software applications, which includes all applicable online tools and references.Core Qualifications:Current permanent United States Work Authorization requiredWorking in the United States Day shift schedule requiredExperience in coding specialties such as E&M, Oncology, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, and others2+ years previous experience as a professional/profee/ambulatory coding auditor3+ years of experience coding professional/profee/ambulatory accountsAdvanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)Analytical skills (problem solving, quantitative, workflow process, etc.)Ability to pay close attention to details; strong follow-up and follow-through skillsExcellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environmentRequires the use of independent judgement, discretion and decision-making abilitiesAbility to interact with internal and external customers in a professional mannerAbility to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possibleFinancial acumen and analytical skills are requiredExperience working with data from various sources preferredFamiliarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysisDesire to work as part of a team in a partnership roleStrong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are requiredFlexible and adaptable to changePhysical Demands:This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.Technical Qualifications:Required Certifications:Certified Professional Coder (CPC) through AAPCPreferred Certifications:AAPC CPMA (Certified Professional Medical Auditor)Registered Health Information Administrator (RHIA) preferredEncoder experience (3M/Solventum, Encoder Pro, Codify) preferredEpic experience preferredCerner experience preferredMeditech experience preferredKey Performance Indicators (KPIs) - Expectations:Coding Auditing Productivity: ? 95%Coding Auditing Accuracy: ? 95%Position Level:AnalystCountry:United States of America