E/M Coding Auditor – Compliance & Quality Reviews

Jobgether; Oregon; Híbrido; USD 80.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental and vision coverage

401(k) retirement plan with employer 6

Flexible spending accounts

Paid family leave

Short-term disability and life insure

Employee assistance plan

Employee discount program

Employee referral program

Descripción de la vacante

Jobgether in the United States seeks an E/M Coding Auditor to ensure accurate, compliant evaluation and management coding across client accounts. You will audit clinical documentation, validate codes, and provide actionable feedback to improve coding quality within a collaborative, quality-focused team.

The ideal candidate has CPMA certification, 5+ years in E/M coding with audit experience, and strong knowledge of AMA CPT E/M guidelines and CMS rules.

Formación

• Active CPMA certification with 5+ years in E/M coding and audit work.
• Demonstrated knowledge of AMA CPT E/M guidelines and CMS requirements.
• Strong documentation and feedback skills.

Responsabilidades

• Perform routine E/M coding audits by reviewing clinical documentation for accuracy, completeness and compliance.
• Assess the alignment between documentation and reported E/M codes, including patient status, place of service, MDM, total time, modifiers, and add-on or prolonged services.
• Apply AMA CPT E/M guidelines, CMS policies, ICD-10-CM, HCPCS, modifier rules, and payer-specific requirements to audit findings.
• Complete audits within turnaround times and quality standards; escalate complex cases as needed.
• Document audit findings clearly, identify discrepancies, classify root causes, and recommend corrective actions.
• Prepare individual audit reports and trend data such as E/M level distributions and accuracy rates.
• Communicate findings to providers/coders and support education through guidance and trainings.
• Re-audit identified issues to evaluate corrective actions and detect recurring patterns.

Conocimientos

E/M coding

Audit experience

CMS guidelines

Attention to detail

Communication

Educación

CPMA

CPC / CCS / RHIT / RHIA

Herramientas

Excel

Word

Outlook

Reporting tools

Descripción del empleo

Jobgether in the United States seeks an E/M Coding Auditor to ensure accurate, compliant evaluation and management coding across client accounts. You will audit clinical documentation, validate codes, and provide actionable feedback to improve coding quality within a collaborative, quality-focused team.

The ideal candidate has CPMA certification, 5+ years in E/M coding with audit experience, and strong knowledge of AMA CPT E/M guidelines and CMS rules.