Billing Auditor, Coding Educator & Compliance Specialist

Bookmark Medical; United States; On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) with company match

Flexible time off

Job summary

Bookmark Medical is seeking a dedicated Professional Billing Auditor, Coding Educator & Compliance Specialist to strengthen our coding practices across a growing network of primary care clinics. You will audit professional fee claims, validate AI-generated coding, and ensure CMS, Medicare, and payer regulatory alignment.

You will educate providers and staff, develop resources, and drive action on audit findings to improve accuracy and reimbursement.

Qualifications

• Minimum five (5) years of professional auditing and compliance knowledge.
• Five (5) or more years of primary care or outpatient coding experience.
• Expert knowledge of CPT, HCPCS, ICD-10-CM, Medicare billing requirements.
• Experience with AI-assisted coding and clinical documentation technologies.
• Familiarity with AI governance and validation methodologies.
• Experience with primary care practice operations.

Responsibilities

• Audit AI-assisted coding outputs and provider documentation for CPT/HCPCS/ICD-10-CM accuracy.
• Assess E/M code selection using AMA and CMS guidelines.
• Validate modifiers and preventive service codes and payer requirements.
• Ensure documentation supports billed services and compliance standards.
• Prepare audit reports and action recommendations for leadership.
• Educate providers and staff on coding trends and compliance risks.
• Support onboarding and ongoing education for coders and staff.

Skills

Auditing

Regulatory compliance

Provider education

AI-assisted coding oversight

Communication

Education

CPMA

CPC

CCS-P

RHIT

RHIA

Tools

Athenahealth

Microsoft Office

PowerPoint

Job description

Bookmark Medical is seeking a dedicated Professional Billing Auditor, Coding Educator & Compliance Specialist to strengthen our coding practices across a growing network of primary care clinics. You will audit professional fee claims, validate AI-generated coding, and ensure CMS, Medicare, and payer regulatory alignment.

You will educate providers and staff, develop resources, and drive action on audit findings to improve accuracy and reimbursement.