Coding Auditor (CPC)

TEKsystems

Maryland

Hybrid

USD 66,000 - 92,000

Full time

7 days ago
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Benefits offered by this job

Hybrid work schedule

Job summary

TEKsystems is seeking a Medical Coding Auditor in Baltimore, MD. This hybrid role requires 1-2 days in office weekly to review physician coding, auditing, and compliance activities across CMS CPT/HCPCS ICD-10 standards.

You will educate providers, document audit results, and support policy development to improve documentation accuracy and coding compliance.

Qualifications

  • Five years of coding experience with two years in auditing/billing compliance.
  • Certification in CPC and/or CCS/CCS-P/CPMA is required.
  • Knowledge of CMS guidelines, CPT, HCPCS, ICD-10 and payer docs.

Responsibilities

  • Conduct independent physician coding and auditing reviews.
  • Audit against CMS guidelines and coding standards.
  • Utilize MDaudit software for documentation and reporting.
  • Analyze coding trends and identify compliance risks.
  • Develop and deliver physician coding education and training materials.
  • Present audit findings to providers and leadership.
  • Support organization-wide coding education initiatives.

Skills

coding
auditing
CPC
CCS
Education
Physician

Education

High school diploma
5 years coding experience
CPC certification
CCS/CCS-P/CPMA certifications
Corporate Compliance knowledge

Job description

Medical Coding Auditor

Hybrid (1 - 2 days in office per week)

Baltimore, MD 21201

Compensation $66k-$92k

Direct Placement

Description

Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives.

This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization.

Core Responsibilities

Physician Coding, Auditing, Compliance & Education

  • Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders.
  • Perform detailed physician coding compliance audits to ensure adherence to CMS guidelines, CPT, HCPCS, ICD-10 code sets, and internal billing policies.
  • Utilize MDaudit software to complete audit documentation, tracking, and reporting activities.
  • Analyze provider, division, and departmental documentation and coding trends to identify compliance risks and recommend corrective actions.
  • Support reporting of audit results, including trending, regulatory tracking, and responses to compliance inquiries.
  • Develop and deliver physician coding education and training materials to improve documentation accuracy and coding compliance.
  • Present physician coding audit findings and compliance risks to providers, leadership, and practice administrators.
  • Create and administer targeted provider education and training programs to address documentation and coding gaps identified through auditing activities.
  • Contribute to system-wide compliance education initiatives, including New Provider Education and Annual Compliance Training programs.
Compliance Auditing Operations & Process Support
  • Prepare reports for compliance leadership and executive stakeholders, highlighting key findings from physician coding and auditing activities.
  • Conduct regulatory research and draft responses to coding and compliance inquiries.
  • Monitor and communicate regulatory updates impacting physician coding, documentation, and billing compliance.
  • Document and track compliance cases, investigations, and inquiries within the case management system.
  • Support compliance investigations related to documentation, billing, and coding concerns.
  • Assist in developing policies, standard operating procedures, audit tools, and education toolkits to strengthen physician coding and auditing practices.
Performance Expectations
  • Meet departmental KPIs, including:
  • Audit productivity
  • Audit quality/accuracy
  • Turnaround time
  • Provider education and training effectiveness
  • Maintain strong knowledge of CMS, CPT, HCPCS, ICD-10, and payer documentation requirements.
  • Perform other duties as assigned.
Skills

profee, coding, auditing, Ccs, Cpc, Education, Physician

Additional Skills & Qualifications
  • High school diploma.
  • Five (5) years' experience in coding including two (2) years of auditing/billing compliance experience.
  • Certified Professional Coder (CPC) certification
  • Experience in and working knowledge of Corporate Compliance.
  • Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), or Certified Medical Auditor (CPMA) certification
Job Type & Location

This is a Permanent position based out of Baltimore, MD.

Pay and Benefits

The pay range for this position is $66102.00 - $92560.00/yr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type

This is a hybrid position in Baltimore,MD.

Application Deadline

This position is anticipated to close on Sep 15, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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