Medical Coding Auditor: CPT/ICD Specialist

Agence PROvidence; Irvine (CA); Sur place; USD 41 000 - 63 000; Plein temps

Résumé du poste

Providence Medical Foundation is seeking a detail-oriented Coding Auditor to join our provider network performance team in California. You will review patient care billing documentation to verify CPT and ICD coding accuracy and ensure compliance with federal, state, and commercial payor policies.

As part of a mission-driven organization, you will help maintain high-quality documentation, support clinician coding accuracy, and collaborate with cross-functional teams to optimize billing processes

Qualifications

• Associate degree or equivalent work experience in medical offices (insurance, coding, billing, registration duties).
• National Certification from AHIMA or AAPC required upon hire.
• National Certified Coding Associate, Specialist, or Documentation Improvement Practitioner certifications encouraged upon hire.

Responsabilités

• Perform coding audits of patient care billing documentation to ensure CPT/ICD coding compliance.
• Ensure adherence to federal, state, and payor billing policies across services.
• Collaborate with Providence teams to promote accurate documentation and compliant billing.

Connaissances

Coding audits

HCC coding

Billing knowledge

Microsoft Office

Formation

Associate's Degree in Coding

Description du poste

Providence Medical Foundation is seeking a detail-oriented Coding Auditor to join our provider network performance team in California. You will review patient care billing documentation to verify CPT and ICD coding accuracy and ensure compliance with federal, state, and commercial payor policies.

As part of a mission-driven organization, you will help maintain high-quality documentation, support clinician coding accuracy, and collaborate with cross-functional teams to optimize billing processes