California Medical Coding Auditor & Litigation Support

Dane Street, LLC; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Voluntary life insurance

Hospital indemnity

Critical illness coverage

Accident indemnity

Pet insurance

Paid time off

401k with match

Remote workspace stipend

Apple equipment

Job summary

Dane Street is seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, and related tasks from a California base. The role includes providing litigation support, including deposition and testimony services when required, with a focus on medical necessity, documentation compliance, and payer audits.

The ideal candidate has CA-based coding experience, strong documentation skills, and the ability to work independently to meet deadlines.

Qualifications

• CPC certification through AAPC is required.
• CPMA certification preferred.
• Minimum 5 years of professional coding experience.
• Prior audit and utilization review experience required.
• Experience supporting legal cases, depositions, or expert testimony is strongly preferred.
• Excellent written documentation and reporting skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS).
• Conduct utilization reviews to determine medical necessity and documentation compliance.
• Review and prepare demand packages and audit response materials.
• Analyze records for payer disputes and recoupments.
• Prepare written audit findings and defensible reports.
• Provide expert support for depositions and testimony as needed.
• Review E/M services under 2021+ guidelines.
• Interpret CMS, LCD/NCD, and payer-specific policies.
• Identify risk areas and compliance vulnerabilities.

Education

CPC certification through AAPC

CPMA certification preferred

5+ years professional coding experience

Prior audit and utilization review experience

Job description

Dane Street is seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, and related tasks from a California base. The role includes providing litigation support, including deposition and testimony services when required, with a focus on medical necessity, documentation compliance, and payer audits.

The ideal candidate has CA-based coding experience, strong documentation skills, and the ability to work independently to meet deadlines.