Clinic Data & Coding Auditor – Revenue Integrity

CommonSpirit Health; Sacramento (CA); On-site; USD 34,000 - 47,000; Full time

Job summary

Dignity Health - Methodist Hospital in Sacramento, CA is seeking a Clinic Data Audit Specialist to ensure compliant billing through meticulous chart audits and ICD/CPT coding verification. You will work with finance, accounting, and coding teams to confirm that encounters are correctly documented and charges are valid before submission.

Ideal candidates have at least one year in a medical claims environment, familiarity with Cerner/IDX systems, and a commitment to accuracy and regulatory

Qualifications

• Minimum one year of experience in a medical environment handling insurance claims.
• Strong knowledge of ICD and CPT coding and medical necessity requirements.
• Attention to detail to minimize coding errors and ensure compliant billing.

Responsibilities

• Perform audits to verify documentation accuracy and support appropriate charges.
• Collaborate with finance, accounting, and coding teams to ensure correct claims.
• Update the CDM dictionary and educate providers on proper documentation.
• Identify and resolve charge accuracy issues before releasing charges.
• Verify diagnosis charges and ensure notes are Co-Signed by a Preceptor.
• Review and validate modifiers (GC/GE) as applicable.

Skills

Attention to detail

Medical claims experience

Coding knowledge

Education

High School Graduate General Studies

High School GED General Studies

Tools

Cerner PCA Charge Viewer

IDX systems

Job description

Dignity Health - Methodist Hospital in Sacramento, CA is seeking a Clinic Data Audit Specialist to ensure compliant billing through meticulous chart audits and ICD/CPT coding verification. You will work with finance, accounting, and coding teams to confirm that encounters are correctly documented and charges are valid before submission.

Ideal candidates have at least one year in a medical claims environment, familiarity with Cerner/IDX systems, and a commitment to accuracy and regulatory