CPC-Certified Coding Auditor: ICD-10 & CPT Expert

Universal Health Services, Inc.; Wayne (PA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

401(K) with company match

Tuition Reimbursement

Job summary

Universal Health Services, Inc. seeks a Coding Auditor to determine ICD-10, CPT-4, and HCPCS coding alignment with clinical documentation and to validate medical necessity per LCDs.

The role requires CPC certification and experience in professional billing, auditing, and the revenue cycle. The position involves reviewing documentation, educating providers on coding requirements, and ensuring timely, accurate audits across IPM services.

Qualifications

• Auditing experience required.
• AAPC CPC Certification required.
• Knowledge of CPT-4/ICD-10, CMS guidelines, and third party billing policies is essential.
• Understanding of the revenue cycle and related processes preferred.
• Strong organizational, detail-oriented, and problem-solving skills.

Responsibilities

• Performs accurate review of clinical documentation to ensure ICD-10, CPT-4 and HCPCS coding alignment with medical records.
• Reviews audit samples and reports findings to Coding Manager, meeting productivity and quality targets.
• Educates providers on documentation requirements to support coding and maximize reimbursements.
• Contributes to audits and education plans; recommends process improvements.
• Maintains knowledge of CPT-4/ICD-10, billing guidelines, and coding policies; pursues continued education and CPC certification.

Skills

Auditing experience

Billing knowledge

CPC Certification

Education

High School Diploma or GED

Associates Degree preferred

Tools

Cerner

Epic

IDX

Job description

Universal Health Services, Inc. seeks a Coding Auditor to determine ICD-10, CPT-4, and HCPCS coding alignment with clinical documentation and to validate medical necessity per LCDs.

The role requires CPC certification and experience in professional billing, auditing, and the revenue cycle. The position involves reviewing documentation, educating providers on coding requirements, and ensuring timely, accurate audits across IPM services.