Documentation & Coding Auditor

MSCCN; Lubbock (TX); On-site; USD 52,000 - 76,000; Full time

Job summary

MSCCN in Texas is seeking a coding auditor to perform coding and documentation quality audits, provide feedback to coding and reimbursement specialists, and educate them. The role requires active certification and knowledge of CPT/ICD nomenclature.

Responsibilities include proactive compliance activities, risk-based audits, data monitoring, and collaboration with providers and staff to mitigate billing risks. The position emphasizes accuracy, timely reporting, and ongoing education.

Qualifications

• High School graduate or equivalent with five years of coding and reimbursement experience, including at least one year as a coding auditor.
• Active professional coding certification (e.g., AAPC or AHIMA) required and must remain current during employment.
• 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 escalate 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

Knowledge of CPT, ICD-CM, ICD-10, and

Education

High School diploma or equivalent

Job description

Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, and educates them.

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.

Required Skills

• 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 escalation 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).