Medical Coding Auditor & Compliance Professional

Pacific Medical Centers; Branford (CT); On-site; USD 80,000 - 100,000; Full time

Job summary

PACT MSO, LLC is seeking an experienced Medical Coding Auditor in Branford, CT, to conduct medical billing, coding, and documentation audits to ensure regulatory and payer compliance.

The role analyzes provider documentation, coding accuracy, and revenue cycle processes across specialties, and provides education and recommendations to clinicians and staff to improve accuracy and compliance. Monday–Friday, 8:30am–5:00pm; not remote.

Qualifications

• Bachelor's degree in healthcare field required.
• 3–5 years in healthcare auditing or related roles.
• CPC certification required; CPMA strongly preferred.
• Experience with E/M audits and medical billing.
• Knowledge of CPT/ICD-10 and payer regulations.

Responsibilities

• Audit medical records for coding and billing accuracy.
• Evaluate ICD-10, CPT, HCPCS and E/M coding compliance.
• Prepare audit workpapers, reports, and tracking logs.
• Educate clinicians and staff on coding and compliance.
• Assist in investigations and compliance policy development.
• Monitor corrective actions and risk areas.

Skills

Medical records knowledge

EHR/EPIC experience

Anatomy basics

Claims & reimbursement understanding

Regulatory compliance

Education

Bachelor's in healthcare field

Tools

EPIC EHR

Data analysis tools

Job description

PACT MSO, LLC is seeking an experienced Medical Coding Auditor in Branford, CT, to conduct medical billing, coding, and documentation audits to ensure regulatory and payer compliance.

The role analyzes provider documentation, coding accuracy, and revenue cycle processes across specialties, and provides education and recommendations to clinicians and staff to improve accuracy and compliance. Monday–Friday, 8:30am–5:00pm; not remote.