CPC Medical Coder | Audits, Utilization & Deposition (NV)

Dane Street; Washington (District of Columbia); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

Long-term disability

401k with company match

Paid time off

Remote workspace stipend

Apple equipment

Job summary

Dane Street seeks an experienced CPC-certified medical coder to perform audits, utilization reviews, and related tasks. The candidate must reside in Nevada with strong Nevada-based coding knowledge and a background in medical necessity and payer policies.

Role includes supporting legal cases with depositions/testimony, reviewing E/M under 2021+ guidelines, and preparing defensible audit reports. Minimum 5 years coding experience and prior audit work are required.

Qualifications

• Active CPC certification through AAPC.
• CPMA preferred.
• Minimum 5 years of professional coding experience.
• At least 3 years of Nevada-based coding experience required.
• Strong knowledge of Nevada Medicaid billing guidelines, fee schedules, and Nevada payer policies.
• Prior audit and utilization review experience required.
• Experience supporting legal cases, depositions, or expert testimony strongly preferred.
• Excellent written documentation and reporting skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS).
• Conduct utilization reviews to determine medical necessity and documentation compliance.
• Review and prepare demand packages and audit response materials.
• Analyze records for payer disputes and recoupments.
• Prepare written audit findings and defensible reports.
• Provide expert support for depositions and testimony as needed.
• Review E/M services under 2021+ guidelines.
• Interpret CMS, LCD/NCD, and payer-specific policies.
• Identify risk areas and compliance vulnerabilities.

Skills

CPC certification

Auditing experience

Deposition experience

Legal testimony support

Nevada coding knowledge

Tools

CPMA

Job description

Dane Street seeks an experienced CPC-certified medical coder to perform audits, utilization reviews, and related tasks. The candidate must reside in Nevada with strong Nevada-based coding knowledge and a background in medical necessity and payer policies.

Role includes supporting legal cases with depositions/testimony, reviewing E/M under 2021+ guidelines, and preparing defensible audit reports. Minimum 5 years coding experience and prior audit work are required.