Aya Healthcare
Houston, TX, USA
Medical Coder Auditor Revenue Cycle Management is looking for a Medical Coder Auditor to join our team. Remote opportunity after 30-90 day in-person training. SUMMARY: The Medical Coder Auditor is responsible for reviewing coded encounters to ensure accuracy, compliance, and alignment with coding guidelines, payer rules, and organizational policies. This role provides feedback to coders, identifies trends in errors, and supports coding education and process improvement initiatives. ESSENTIAL FUNCTIONS: Conduct retrospective and prospective coding audits to ensure coding accuracy and compliance with regulations. Review coded documentation for completeness, accuracy, and adherence to ICD-10-CM, CPT, HCPCS, and/or ICD-10-PCS guidelines. Identify coding trends, error patterns, and compliance risks and develop corrective action plans. Provide feedback and education to coders to improve accuracy and consistency. Collaborate with providers and clinical staff to clarify...