Nevada Medical Coding Auditor & Litigation Expert

Dane Street; Las Vegas (NV); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical/dental/vision coverage

Voluntary life insurance

Disability coverage

Paid time off

401k with match

Remote workspace stipend

Job summary

Dane Street seeks an experienced CPC certified medical coder to perform coding audits, utilization reviews, and related tasks with a focus on Nevada-based guidelines and payer policies.

The role requires Nevada residency, strong documentation and audit skills, and the ability to provide deposition/testimony support as needed. Part-time options may be considered depending on qualifications.

Qualifications

• Active CPC certification required.
• Nevada-based coding experience required.
• Minimum 5 years of professional coding experience; 3+ years in Nevada.
• Strong knowledge of Nevada Medicaid billing guidelines and payer policies.
• Experience supporting legal cases, depositions, or expert testimony is 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

5+ years coding experience

Nevada-based coding experience

Audit and utilization review

Legal deposition/testimony experience

Education

CPC certification (AAPC)

CPMA certification preferred

Job description

Dane Street seeks an experienced CPC certified medical coder to perform coding audits, utilization reviews, and related tasks with a focus on Nevada-based guidelines and payer policies.

The role requires Nevada residency, strong documentation and audit skills, and the ability to provide deposition/testimony support as needed. Part-time options may be considered depending on qualifications.