Hybrid Medical Auditor: Billing & Coding Compliance

OrthoVirginia Inc; Virginia (MN); Hybrid; USD 36,000 - 55,000; Full time

Job summary

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices.

The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program.

Qualifications

• Bachelor's Degree or equivalent with 3+ years' experience working as a credentialed coder, preferably in a medical practice
• Licensing/certification as RHIA/RHIT/CCS-P/CPC/CEMC required
• Thorough knowledge of CPT and ICD coding principles and guidelines
• Strong analytical and problem-solving skills with auditing experience

Responsibilities

• Assists with monitoring of OrthoVirginia’s Compliance Program related to billing, coding, and documentation
• Performs audits of coding and billing data for accuracy and regulatory compliance
• Conducts physician, APP and scribe coding and documentation education classes
• Educate clinicians on documentation and coding requirements to ensure accurate coding levels and compliance
• Prepares requested reports by collecting, analyzing, and summarizing information
• Meets with assigned providers to review audit results
• Keeps up to date with E/M Documentation Guidelines
• Monitors identified compliance issues and suggests focused audits

Job description

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices.

The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program.