Documentation & Coding Auditor

VetJobs and Military Spouse Jobs; Lubbock (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

VetJobs and Military Spouse Jobs in Lubbock, TX seeks a seasoned medical coder/auditor to ensure accurate coding and compliant reimbursement. Requires five years of coding and reimbursement experience and an active professional coding certification (AAPC or AHIMA).

Knowledge of CPT, ICD-10-CM, ICD-10, and HCPCS is essential. You will lead proactive audits, collaborate with clinical and administrative teams, and help implement compliant workflows across departments.

Qualifications

• Must have five years of coding and reimbursement experience.
• Active professional coding certification (AAPC or AHIMA) with current status.
• Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.

Responsibilities

• Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations.
• Identify and address billing compliance risks before issues escalates by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results.
• Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks.
• Maintain or contribute to tracking tools, such as issue logs, risk registers, work plan trackers, audit dashboards, corrective action trackers, education trackers, consultation logs, and reporting calendars.
• Prepare and present ideas, findings, and information to appropriate staff.
• Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.

Skills

Coding experience

Reimbursement experience

Audit

Education

High School diploma or equivalent

Tools

AAPC

AHIMA

Job description

Required Experience

High School graduate or equivalency and five years of coding and reimbursement experience of which 1 year may be as a coding auditor. Additional job-specific education may substitute for the experience.

Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.

Additional Qualifications/Responsibilities

Responsibilities

• Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations.
• Identify and address billing compliance risks before issues escalates by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results.
• Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks.
• Maintain or contribute to tracking tools, such as issue logs, risk registers, work plan trackers, audit dashboards, corrective action trackers, education trackers, consultation logs, and reporting calendars.
• Prepare and present ideas, findings, and information to appropriate staff.
• Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.

Certificates/Security Clearances/Other

• Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA).