Hybrid Medical Auditor for Billing & Coding Compliance

OrthoVirginia; Virginia (IL); Hybrid; USD 75,761,000 - 113,642,000; Full time

Job summary

OrthoVirginia is seeking a Medical Auditor (Billing & Coding) to conduct coding and documentation audits across assigned providers, educate clinicians on documentation requirements, and ensure compliance with billing regulations.

This full-time, hybrid role requires travel to regional offices, CPT/ICD knowledge, and certifications such as CPC/CCS-P, RHIA or RHIT. You will prepare audit reports and support the compliance program under the Billing & Coding Compliance Manager.

Qualifications

• Bachelor’s Degree or equivalent with 3+ years’ experience as credentialed coder.
• Licensing/certification as RHIA, RHIT, CCS-P, CPC, or CEMC required.
• Thorough knowledge of CPT and ICD coding principles and guidelines.
• Knowledge of Medicare/Medicaid rules for documentation of billed services.
• Strong analytical and problem-solving skills for audits.
• Excellent written and verbal communication with clinicians.
• Advanced Microsoft Office experience (Excel formulas, pivot tables, dashboards).

Responsibilities

• Conduct coding and documentation audits for assigned providers.
• Educate providers on documentation, coding, and billing requirements.
• Prepare audit reports by collecting, analyzing, and summarizing data.
• Monitor compliance issues identified during audits.
• Travel to regional offices as needed.

Skills

Auditing

Coding knowledge

Communication skills

Problem-solving

Education

Bachelor’s Degree or equivalent with 3+ years’ experience as credentialed coder

RHIA / RHIT / CCS-P / CPC / CEMC certification

Tools

Microsoft Office

Job description

OrthoVirginia is seeking a Medical Auditor (Billing & Coding) to conduct coding and documentation audits across assigned providers, educate clinicians on documentation requirements, and ensure compliance with billing regulations.

This full-time, hybrid role requires travel to regional offices, CPT/ICD knowledge, and certifications such as CPC/CCS-P, RHIA or RHIT. You will prepare audit reports and support the compliance program under the Billing & Coding Compliance Manager.