Medical Coding & Compliance Specialist

Southwest Network; Phoenix (AZ); On-site; USD 65,000 - 92,000; Full time

Job summary

Southwest Network seeks a skilled Auditing/Medical Coding professional to audit charts and clinical records, ensuring correct procedure and diagnosis codes. You will identify coding trends, support training, and coordinate with IT/EHR teams to optimize workflows.

Responsibilities include conducting ad-hoc audits, ensuring regulatory compliance, and providing targeted education for medical specialties to improve overall coding accuracy.

Qualifications

• Auditing charts and reviewing clinical records to ensure codes and modifiers are correct.
• Identifying trends in improper coding or potential audit triggers.
• Complying with medical coding guidelines and regulatory changes.
• Providing targeted education and training tailored to medical specialties.

Responsibilities

• Audits charts and reviews clinical records to ensure all diagnostic and procedural codes and modifiers are accurate.
• Identifies trends in improper coding or communication gaps that may lead to denials or audits.
• Collaborates with IT and EHR teams to improve charge automation and optimize workflows.
• Conducts ad-hoc audits to ensure fidelity to coding guidelines.
• Analyzes medical records to identify documentation deficiencies.

Skills

Auditing

Medical coding

Quality assurance

Training and education

Communication

Tools

EHR systems

Charge automation

Job description

Southwest Network seeks a skilled Auditing/Medical Coding professional to audit charts and clinical records, ensuring correct procedure and diagnosis codes. You will identify coding trends, support training, and coordinate with IT/EHR teams to optimize workflows.

Responsibilities include conducting ad-hoc audits, ensuring regulatory compliance, and providing targeted education for medical specialties to improve overall coding accuracy.