Coding and Billing Auditor {166270}

A-Line Staffing Solutions LLC; Dover (DE); On-site; USD 53,000 - 81,000; Full time

Benefits offered by this job

401(k) plan with company match available after 1 year of service

Benefits available after 90 days of employment

Job summary

A-Line Staffing Solutions is hiring a Coding and Billing Auditor in Dover, DE. The role involves auditing medical records for accurate ICD-10 and CPT coding and educating providers on documentation standards. Candidates must have a Certified Professional Coder (CPC) certification and at least five years of coding experience.

This full-time position is fully onsite and offers benefits after 90 days of employment.

Qualifications

• 5+ years of inpatient and/or outpatient professional physician coding experience required.
• Experience interacting directly with physicians for feedback and education.
• Strong knowledge of ICD-10, CPT, and clinical documentation standards.

Responsibilities

• Perform audits of medical records for accurate coding.
• Develop and deliver provider education for coding guidelines.
• Compile detailed audit reports including findings and recommendations.

Skills

Attention to detail

Analytical skills

Effective communication

Organizational skills

Education

Associate Degree in a related field

Certified Professional Coder (CPC)

Job description

Position Title: Coding and Billing Auditor

Location: Dover, DE

Pay Range: $53,000.00 – $81,000.00 (annual salary)

Start Date: 02/16 (or later)

Employment Type: Full-Time

Work Environment: Fully onsite

Position Summary

The Coding and Billing Auditor is responsible for performing detailed data quality reviews of provider medical records to ensure accurate ICD-10 and CPT coding and compliant clinical documentation. This role audits physician and mid-level provider records for accuracy of diagnoses and procedures, educates providers and staff on documentation and coding standards, and supports revenue cycle operations. The position requires extensive professional physician coding experience and regular interaction with providers to deliver feedback and education.

Key Responsibilities

• Perform audits of medical records to ensure accurate CPT and ICD-10 coding assignments

• Validate that selected codes are fully supported by clinical documentation

• Compile detailed audit reports, including findings, trends, and recommendations

• Consistently meet established productivity targets for record audits

• Conduct biannual audits of established provider medical records

• Maintain audit logs and documentation tracking

• Communicate verbally and in writing with providers to clarify findings and recommend more specific or complete documentation

• Collaborate with the Revenue Cycle Manager to design and implement tools supporting physician documentation improvement

• Develop and deliver both formal and informal provider education related to coding guidelines and documentation requirements

• Communicate the importance and benefits of complete and accurate clinical documentation

• Train new revenue cycle team members on coding standards and documentation guidelines

• Assist the Revenue Cycle Manager with evaluations of coding activities and staff performance as needed

• Perform professional coding duties as required

• Provide ongoing coding support to billing and coding staff

• Perform all other duties within the scope of the role as assigned

Required Education, Credentials & Experience

• Associate Degree in a related field

• Certified Professional Coder (CPC) – required

• Minimum of five (5) years of inpatient and/or outpatient professional physician coding experience

• Auditing experience preferred

• Significant experience coding professional claims in a medical office-based setting

• Experience interacting directly with physicians to provide feedback, education, and documentation guidance

• Strong knowledge of ICD-10, CPT, and clinical documentation standards

Preferred Qualifications

• Bachelor’s Degree in a related field

• Coding experience within a multi-specialty group practice setting

Skills & Competencies

• Strong analytical and attention-to-detail skills

• Ability to interpret complex medical documentation and coding guidelines

• Effective verbal and written communication skills

• Ability to educate and influence providers regarding documentation best practices

• Strong organizational skills with the ability to manage multiple audits simultaneously

• Ability to work independently in a structured, compliance-driven environment

Benefits

• Benefits available to full-time employees after 90 days of employment

• 401(k) plan with company match available after 1 year of service