Medical Billing & Coding Specialist

DaMar Staffing; Phoenix (AZ); On-site; USD 70,000 - 100,000; Full time

Job summary

DaMar Staffing is seeking a qualified Medical Coder Auditor to review clinical records for coding accuracy and regulatory compliance. The role involves translating audit findings into targeted training, supports the organization’s compliance program, and collaborates with IT/EHR teams to streamline workflows.

The ideal candidate will monitor evolving coding guidelines and provide coaching to ensure high-quality documentation across medical specialties, supporting Southwest Network’s coding

Qualifications

• Auditing and evaluating medical charts for coding accuracy and compliance.

Responsibilities

• Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere.
• Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits.
• Complies with all medical coding guidelines and monitors evolving regulatory and industry changes.
• Provide targeted education and coaching, translating audit findings for specialty-specific training.
• Collaborate with IT and EHR teams to improve charge automation and optimize workflows.
• Conduct ad-hoc audits to ensure fidelity to coding guidelines.

Job description

Job Title

Essential Functions:

• Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere
• Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits
• Complies with all medical coding guidelines and monitors evolving regulatory and industry changes
• Provides targeted education, direct coaching, and facilitates training programs tailored to each medical specialty upon translating audit findings
• Follows up and clarifies any information that is not clear with the rendering provider
• Collaborates with IT and EHR teams to improve charge automation and optimize workflows
• Conducts ad-hoc audits to ensure fidelity to coding guidelines
• Relevant expert for Southwest Network on accurate and efficient coding practices
• Analyze medical records and identify documentation deficiencies

Nonessential Functions:

• Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program
• Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical and professional guidelines adopted by Southwest Network
• Other duties as assigned

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.