Medical Coding Auditor: CPT/ICD Compliance & Audits

Agence PROvidence; Anaheim (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Providence Medical Foundation is seeking a coding auditor to review patient care billing documentation for CPT/ICD alignment with federal, state, and payer policies. The role supports the broader provider network performance mission and requires strong coding credentials and billing experience.

The ideal candidate will hold AHIMA/AAPC certifications or equivalent, have several years of diverse coding experience, and be proficient with Microsoft Office to facilitate reporting and documentation.

Qualifications

• Associate's Degree in Coding education or AHIMA/AAPC certification program, or work experience in medical offices.
• National Certification from AAPC or AHIMA upon hire.
• National Certification like CCS, CDIP, CHIA, RHIA/RHIT preferred.
• 3 years Professional Coding experience across specialties (HCC, Primary Care, Oncology, Infusion, Neurology, OB/GYN, Cardiology, Endocrinology, Rheumatology, General Surgery).
• 3 years Physician/clinic billing experience.
• Experience with Microsoft Office (Word, Excel, Outlook).

Responsibilities

• Perform coding audits of patient care billing documentation to ensure CPT/ICD guideline adherence and payer policy.

Skills

CPT & ICD coding

Coding auditing

Healthcare billing experience

MS Office (Word/Excel/Outlook)

Education

Associate's Degree in Coding education or AHIMA/AAPC certification program

CPC/CCS/CDIP/AHIMA/AAHIMA certifications

Tools

Microsoft Office

Job description

Providence Medical Foundation is seeking a coding auditor to review patient care billing documentation for CPT/ICD alignment with federal, state, and payer policies. The role supports the broader provider network performance mission and requires strong coding credentials and billing experience.

The ideal candidate will hold AHIMA/AAPC certifications or equivalent, have several years of diverse coding experience, and be proficient with Microsoft Office to facilitate reporting and documentation.