Coding Compliance Auditor: Elevate Coding Accuracy

Keck Medicine of USC; Los Angeles (CA); On-site; USD 45,000 - 74,000; Full time

Job summary

Keck Medicine of USC in Los Angeles is seeking a Coding Compliance Auditor to perform 2nd level reviews of coded accounts, ensuring CPT, ICD-10-CM, and HCPCS accuracy with proper documentation support. You will generate audit reports, analytics, and education materials to improve compliance.

Under general supervision, you will maintain productivity, respond to inquiries, and assist in clean claim releases using Cerner, MediTech, Epic, and Athena IDX.

Qualifications

• High school or equivalent required.
• Specialized/technical training with medical terminology, anatomy & physiology and a certified coding course.
• 5 years ICD-9/ICD-10 coding and auditing experience in professional charges.
• Familiarity with CMS regulations and documentation guidance.

Responsibilities

• Perform 2nd level review of coded accounts for CPT/ICD-10-CM/HCPCS accuracy.
• Prepare detailed audit reports, excel spreadsheets, and analytics on coding accuracy.
• Educate coders/providers based on audit findings and support training.
• Respond to coding inquiries from staff and assist in timely clean claims release.
• Collaborate with Billing/CBO and ensure documentation supports coding decisions.

Skills

ICD-9/ICD-10 coding

Auditing

Documentation research

CMS regulations knowledge

Education

High school diploma or equivalent

Medical terminology & anatomy & physiology training

Certified coding course

Tools

Cerner

MediTech

Epic

Athena IDX

Job description

Keck Medicine of USC in Los Angeles is seeking a Coding Compliance Auditor to perform 2nd level reviews of coded accounts, ensuring CPT, ICD-10-CM, and HCPCS accuracy with proper documentation support. You will generate audit reports, analytics, and education materials to improve compliance.

Under general supervision, you will maintain productivity, respond to inquiries, and assist in clean claim releases using Cerner, MediTech, Epic, and Athena IDX.