Nevada-Based Medical Coding Auditor & Litigation Support

Dane Street; United States; Remote; USD 70,000 - 110,000; Part time

Benefits offered by this job

Medical, dental, and vision coverage

Voluntary life insurance options

401k with company match

Remote workspace stipend and equipment

Paid time off

Job summary

Dane Street in Nevada is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and prepare audit findings. The role includes litigation support with deposition and testimony as needed, requiring strong knowledge of medical necessity and payer policies.

Candidates must have at least 5 years of professional coding experience, Nevada-based exposure, and a track record with Medicaid billing guidelines.

Qualifications

• Active CPC certification through AAPC.
• CPMA certification preferred.
• Minimum 5 years of professional coding experience; at least 3 years in Nevada-based coding.
• Strong knowledge of Nevada Medicaid billing guidelines, fee schedules, and payer policies.
• Prior audit and utilization review experience required.
• Experience supporting legal cases, depositions, or expert testimony preferred.

Responsibilities

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS).
• Conduct utilization reviews to determine medical necessity and documentation compliance.
• Review and prepare demand packages and audit response materials.
• Analyze records for payer disputes and recoupments.
• Prepare written audit findings and defensible reports.
• Provide expert support for depositions and testimony as needed.
• Review E/M services under 2021+ guidelines.
• Interpret CMS, LCD/NCD, and payer-specific policies.
• Identify risk areas and compliance vulnerabilities.

Skills

CPC Certification

CPMA

5+ years coding

Nevada-based coding

Medical coding audits

Legal deposition support

Job description

Dane Street in Nevada is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and prepare audit findings. The role includes litigation support with deposition and testimony as needed, requiring strong knowledge of medical necessity and payer policies.

Candidates must have at least 5 years of professional coding experience, Nevada-based exposure, and a track record with Medicaid billing guidelines.