Medical Coding Auditor I – ICD-10/CPT Specialist

DaMar Staffing; Webster (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental Insurance

Disability insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

CLS Health in Houston, TX seeks an experienced auditor/coder to support system-wide billing and coding quality initiatives. You will review records, apply ICD-10-CM, CPT, and HCPCS guidelines, and ensure accurate coding for reimbursement across inpatient and outpatient settings.

Responsibilities include auditing, identifying documentation gaps, and providing actionable improvements. You will stay current with AMA CMS CPT updates and work within compliant processes to support reliable, timely

Qualifications

• 2+ years of experience as an auditor/coder in a health care organization.
• Advanced knowledge of medical coding and billing systems and regulatory requirements.
• Excellent verbal/written communication skills.

Responsibilities

• Assist with implementing and maintaining system-wide billing and coding quality audits.
• Review coding guidelines and review medical records to determine coding accuracy of diagnoses and procedures.
• Review claims to validate submitted codes and abstracted data (ICD-10-CM, CPT, HCPCS) affecting reimbursement.
• Ensure accuracy of coding assignments in accordance with federal coding regulations and guidelines.
• Identify documentation issues that impact coding accuracy and communicate improvement opportunities.
• Stay current with AMA guidelines, CMS directives, and CPT updates for all specialties.
• Evaluate internal controls to ensure regulatory compliance in documentation and billing.
• Review EMR notes to verify E/M, diagnosis and procedure coding accuracy.

Skills

Auditing concepts

Medical coding & billing knowledge

Communication skills

Tools

Microsoft Word

Excel

PowerPoint

Job description

CLS Health in Houston, TX seeks an experienced auditor/coder to support system-wide billing and coding quality initiatives. You will review records, apply ICD-10-CM, CPT, and HCPCS guidelines, and ensure accurate coding for reimbursement across inpatient and outpatient settings.

Responsibilities include auditing, identifying documentation gaps, and providing actionable improvements. You will stay current with AMA CMS CPT updates and work within compliant processes to support reliable, timely