Outpatient Coding Auditor & QA Lead (CPC/CPMA)

Nuvance Health; Danbury (CT); On-site; USD 38,000 - 72,000; Full time

Benefits offered by this job

PTO

Medical, Dental & Vision

HSA & FSA

401(k)

Life Insurance

Wellness Programs

Employee Assistance Program

Team member discounts

Job summary

Nuvance Health is seeking a professional coder auditor to perform clinical documentation and coding audits of physician practice records. The role emphasizes accuracy in E/M leveling, surgical coding, and compliance with state and federal guidelines.

Responsibilities include conducting high-volume audits, delivering education sessions for coders and practices, collaborating with Compliance, and staying current with CMS/Medicare regulations to support compliant revenue integrity.

Qualifications

• CPC, CPC-H or CCS-P certification required.
• CPMA or CDEO certification required.

Responsibilities

• Conducts high-volume internal audits of physician practice records for coding accuracy.
• Educates coders and physician practices based on audit findings to improve documentation and coding.
• QA activities auditing levels of service for surgical coding for accuracy.
• Collaborates with Compliance on audits, reporting, and coding issues.
• Research CMS and Medicare regulations to assess impact on professional services.
• Identify errors and trends with Outpatient Coding to improve practices.
• Attend required educational sessions to maintain coding certifications.

Skills

Medical terminology

Anatomy & physiology

Documentation coding guidelines

CMS/Medicare regulations

Auditing

Education

AAPC or AHIMA CPC/CPC-H/CCS-P certification

CPMA or CDEO certification

Job description

Nuvance Health is seeking a professional coder auditor to perform clinical documentation and coding audits of physician practice records. The role emphasizes accuracy in E/M leveling, surgical coding, and compliance with state and federal guidelines.

Responsibilities include conducting high-volume audits, delivering education sessions for coders and practices, collaborating with Compliance, and staying current with CMS/Medicare regulations to support compliant revenue integrity.