Medical Coding Auditor - Hybrid, CPT/ICD Expert

Providence Health & Services; Anaheim (CA); Hybrid; USD 62,000 - 94,000; Full time

Job summary

Providence Health & Services in Anaheim is seeking a Provider Network Performance Coding Auditor to review patient care documentation for CPT and ICD coding compliance across services, ensuring adherence to payer policies. Hybrid work option with day shifts.

The role requires an Associate's Degree in Coding or AHIMA/AAPC certificates, 3 years of coded experience including primary care and specialty areas, and proficiency in Microsoft Office. Competitive benefits and base pay range shown.

Qualifications

• Associate's Degree in Coding or equivalent work experience in medical offices.
• National Certification from AHIMA or AAPC upon hire.
• National Certified Coding Associate - AHIMA upon hire.
• National Certified Coding Specialist - AHIMA upon hire.
• National Certified Coding Specialist - Physician - AHIMA upon hire.
• National Certified Documentation Improvement Practitioner - AHIMA upon hire.
• National Certified Health Data Analyst - AHIMA upon hire.
• National Registered Health Information Administrator - AHIMA upon hire.
• National Registered Health Information Technician - AHIMA upon hire.
• 3 years Professional Coding experience in HCC coding, 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).

Skills

HCC coding

Physician billing

Microsoft Office

Education

Associate's Degree in Coding

AHIMA/AAPC certification program

Job description

Providence Health & Services in Anaheim is seeking a Provider Network Performance Coding Auditor to review patient care documentation for CPT and ICD coding compliance across services, ensuring adherence to payer policies. Hybrid work option with day shifts.

The role requires an Associate's Degree in Coding or AHIMA/AAPC certificates, 3 years of coded experience including primary care and specialty areas, and proficiency in Microsoft Office. Competitive benefits and base pay range shown.