Coding Auditor

Jobtailor; Fresno (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Community Health Partners is seeking a skilled Medical Coder Auditor to ensure accurate documentation and compliant coding across practices in Fresno, CA. The role emphasizes reviewing medical records and validating ICD-10, CPT, and HCPCS modifiers.

You will collaborate with clinical departments and Revenue Cycle Services to enforce coding guidelines, provide education to staff, and support compliant charge capture and timely claim submissions.

Qualifications

• 2 years of professional coding experience with ICD-10, CPT, and HCPCS modifiers.
• High school diploma or equivalent; CHS-approved IEP certificate acceptable.
• One of CCS, CPC, CPMA, RHIT, or RHIA certifications required.

Responsibilities

• Conduct medical records and coding reviews to validate the integrity of coded procedures.
• Work closely with clinical departments and Revenue Cycle Services to ensure compliance with coding guidelines, government, payer, and internal charge capture policies.
• Provide education and training to clinical providers and staff on proper documentation and coding guidelines, practices, and procedures.

Skills

Medical Coding

Coding Reviews

Documentation Guidelines

Charge Capture Compliance

Coding Education

Education

High School Diploma / HSE

CHS IEP Certificate (if applicable)

CCS Certification

CPC Certification

CPMA Certification

RHIT

RHIA

Job description

• Conducting medical records and coding related reviews to validate the integrity of coded procedures.
• Work closely with clinical departments and Revenue Cycle Services within Community Health Partners to ensure compliance with coding guidelines, government, payer, and internal charge capture policies.
• Provide education and training to clinical providers and staff within the practices on proper documentation and coding guidelines, practices, and procedures.

Requirements

• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
• 2 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS modifiers required
• One of the following is required: CCS - Certified Coding Specialist, CPC - Certified Professional Coder, CPMA - Certified Professional Medical Auditor, RHIT - Registered Health Information Technician, RHIA - Registered Health Information Administrator.

Core Competencies

Demonstrates expertise in medical coding and compliance, with a strong focus on ICD-10, CPT, and HCPCS modifiers. Capable of providing education and training to clinical staff on documentation and coding practices.

Highest-signal resume keywords

• ICD-10 Coding
• CPT Coding
• HCPCS Modifiers
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)

ATS Optimization Keywords

Hard Skills

• Medical Coding
• Coding Reviews
• Documentation Guidelines
• Charge Capture Compliance
• Coding Education

Soft Skills

• Collaboration
• Communication

Certifications & Qualifications

• Certified Professional Medical Auditor (CPMA)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)

Industry Keywords

• Revenue Cycle Services
• Clinical Departments
• Compliance