HIM Coding Auditor

Independence Physician Management (IPM); United States; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation and generous

Excellent medical, dental, vision and药

401(K) with company match

Career development opportunities

Pet Insurance

Job summary

Independence Physician Management (IPM) invites applications for a Coding Auditor responsible for validating ICD-10, CPT-4, and HCPCS coding against clinical documentation. You will apply coding knowledge and auditing skills to ensure timely, accurate audits in line with CMS LCDs.

The role requires 3–5 years in healthcare billing/coding, AAPC CPC certification, and familiarity with CPT-4/ICD-10. You may monitor trends, provide education to providers, and contribute to process improvements.

Qualifications

• 3–5 years of experience in healthcare billing, coding, auditing or equivalent.
• AAPC CPC Certification required.
• Understanding of CPT-4 and ICD-10 codes and CMS guidelines.
• Experience with billing software like Cerner, Epic or IDX is desirable.

Responsibilities

• Performs accurate and timely reviews of clinical documentation to ensure ICD-10, CPT-4 and HCPCS coding is supported by the medical record.
• Reports findings to the Coding Manager with attention to productivity and quality targets.
• Educates providers on documentation requirements to support coding and ensure all coding possibilities are captured.
• Maintains knowledge of CPT-4 and ICD-10 codes and coding policies; participates in ongoing education as required.

Skills

Attention to detail

Auditing

Time management

Education

AAPC CPC Certification

Associate degree preferred

Tools

Cerner

Epic

IDX

Job description

Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states – and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients.

To learn more about IPM visit Physician Services - Independence Physician Management - UHS.

Successful candidate must live in one of these locations:

• Pennsylvania
• Delaware
• Florida
• New Jersey
• Texas

Coder Certification Required

The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested.

Key Responsibilities include:

• Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation is medical record. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding.
• Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding.
• Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured.
• Provides feedback on audit and education plans and materials and makes recommendations for updates that will enhance the auditing process.
• Maintains an expanded knowledge base CPT-4 and ICD-10 codes, government, managed care and third party billing guidelines, AMA, AAP, CMS and coding policies. Meets continued education guidelines to maintain current AAPC CPC certification
• Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality or revenue to enhance clinical documentation to support codes billed, drive consistency across IPM, mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution.
• Participates in regularly scheduled team meetings offering new paths, procedures and approaches to maximize opportunities for performance and process improvement.
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

Job Requirements:

• High School Graduate/GED required. Associates Degree preferred.
• 3 -5 years of experience required working in a healthcare (professional) billing, health insurance, coding, auditing or equivalent operations work environment.
• Auditing experience required.
• AAPC CPC Certification required.
• Healthcare (professional) billing, CPT-4 and ICD-10 codes, government, managed care and third party billing guidelines, AMA, AAP, CMS and coding policies.
• Understanding of the revenue cycle and how the various components work together preferred.
• Excellent organization skills, attention to detail, research and problem solving ability.
• Results oriented with a proven track record of accomplishing tasks within a high-performing team environment.
• Service-oriented/customer-centric.
• Strong computer literacy skills including proficiency in Microsoft Office.
• Billing software (e.g., Cerner, Epic, IDX) experience are highly desirable.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.