(CPMA) Certified Professional Medical Auditor coder 3 jobs

Medical Auditor

Methodist Health System Dallas, TX, USA

Medical Auditor Hours of Work: Flexible 8 am - 4:30 pm Days Of Week: Monday through Friday Work Shift: Job Description: Remote or On-Site (Dallas, TX) Employment/Education History Requirements: Certifications: High school education or equivalent; some college credit; Bachelor's degree preferred. Certified Professional Coder (CPC) certification from AAPC or Certified Coding Specialist Physician-based (CCS-P) certification from AHIMA with the appropriate level of experience for auditing and abstracting. Preferred: Certified Professional Medical Auditor (CPMA) certification from AAPC Experience/Knowledge: 2+ years of multispecialty auditing medical documentation experience for appropriate E&M level and CPT assignment or 4-5 years of multispecialty coding experience. Thorough knowledge of anatomy/medical terminology. Proficient with Microsoft Word and Excel. Experience with Epic preferred. Ability to communicate effectively via written and verbal communication....

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

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