Nurse Coding Auditor: Hospital Billing & Coding Expert

Trend Health Partners; United States; Remote; USD 85,000 - 95,000; Full time

Benefits offered by this job

Health insurance

401(k) plan with employer match

Paid parental leave

Job summary

Trend Health Partners is seeking a Nurse Coding Auditor to review medical records and itemized bills for accurate CPT/HCPCS/revenue code usage on hospital claims. The role emphasizes CMS guideline adherence, documentation review, and audit accuracy in a dynamic, tech-enabled environment.

Applicants should hold an active coding certification and strong Excel skills; RN license preferred. Competitive pay and robust benefits accompany a collaborative, growth-focused team.

Qualifications

• Active coding certification in good standing (CCS, CPC, COC, RHIT or RHIA).
• Strong knowledge of CPT, HCPCS, ICD-10, revenue codes, CMS and coding guidelines.
• Knowledge of inpatient coding and hospital bill audits, itemized bill reviews and line-item review.
• Ability to review and interpret complex medical documentation.
• Experience with coding validation, auditing, or claims review.
• Strong verbal and written communication skills.
• Proficient in Microsoft Office, especially Excel.
• RN license is preferred and advantageous.

Responsibilities

• Validate the accuracy of CPT, HCPCS, revenue codes, and billed line items on outpatient and inpatient facility claims.
• Review medical records to confirm appropriate documentation and billing.
• Apply CMS guidance, coding guidelines, MUE/NCCI edits and policies during reviews.
• Conduct itemized bill reviews and revenue code validation.
• Perform hospital bill audits to identify coding, billing or documentation issues.
• Assess medical necessity as part of claim review activities.
• Prepare appeal responses using coding guidance and company policies.
• Assist with concept development and audit criteria.

Skills

Active coding certification

CPT/HCPCS/ICD-10 knowledge

Inpatient coding knowledge

Ability to interpret complex medicals

Coding validation/auditing experience

Verbal & written communication

RN license (preferred)

MS Office / Excel proficiency

Education

RN license (preferred)

Tools

Encoder

Codify

TruCode/TruBridge

3M Coding

WebStrat

Job description

Trend Health Partners is seeking a Nurse Coding Auditor to review medical records and itemized bills for accurate CPT/HCPCS/revenue code usage on hospital claims. The role emphasizes CMS guideline adherence, documentation review, and audit accuracy in a dynamic, tech-enabled environment.

Applicants should hold an active coding certification and strong Excel skills; RN license preferred. Competitive pay and robust benefits accompany a collaborative, growth-focused team.