Documentation & Coding Auditor

DaMar Staffing; Lubbock (TX); Presencial; USD 60.000 - 90.000; Jornada completa

Descripción de la vacante

DaMar Staffing seeks a detail-oriented Billing Compliance Auditor to join our healthcare client network. The role requires a high school diploma, five years of coding and reimbursement experience, and active coding certification (AAPC or AHIMA).

You will ensure accuracy and consistency in CPT, ICD-CM, ICD-10, and HCPCS nomenclature, supporting compliant billing practices. You will plan audits, monitor data, educate staff, and partner with departments before implementing new services to reduce

Formación

• High School graduate with five years in coding and reimbursement.
• Active professional coding certification required (AAPC or AHIMA).
• Certification must remain current during employment.

Responsabilidades

• Plan and perform proactive compliance activities, including audits and reviews.
• Address billing risks using audit trends, payer updates, and risk data.
• Collaborate with departments before new services to mitigate risks.
• Maintain tracking tools: logs, dashboards, calendars.
• Prepare and present findings to staff.
• Work with providers and staff across departments.

Conocimientos

Coding experience

Auditing

Regulatory knowledge

Educación

High School diploma

Herramientas

CPT/ICD nomenclature

HCPCS nomenclature

ICD-10

Descripción del empleo

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).