Remote Provider Documentation & Billing Auditor (Contract)

10 Mary Free Bed Rehabilitation Hospital; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

Mary Free Bed Rehabilitation Hospital is seeking a Provider Documentation and Billing Auditor to independently audit documentation, coding, and billing practices across the system. This role evaluates compliance with policies, federal/state laws, payer requirements, and industry standards to strengthen internal controls and support appropriate reimbursement.

The Auditor collaborates with clinical and leadership teams, develops remediation recommendations, educates staff, and helps prevent

Qualifications

• Bachelor’s degree or higher in health information management, healthcare administration, nursing or related field is required.
• 2–5 years of provider coding and billing experience in professional services preferred.
• Knowledge of Medicare/Medicaid, payer requirements, and industry compliance standards is required.

Responsibilities

• Conduct audits and reviews of provider documentation, coding, billing, and reimbursement practices to assess compliance with applicable laws, regulations, payer requirements, and organizational policies.
• Evaluate accuracy and completeness of clinical documentation to ensure services billed are supported by the medical record and meet coding and billing requirements.
• Perform ongoing monitoring to identify compliance risks, billing vulnerabilities, coding trends, and opportunities for improvement.
• Identify potential overpayments/underpayments and recommend corrective actions.
• Collaborate with compliance team, providers, revenue cycle staff and leadership to resolve issues and improve compliance performance.
• Provide education and training on documentation, coding, billing regulations, and best practices.

Education

Bachelor’s degree or higher in health information management, healthcare administration, nursing or related field

Job description

Mary Free Bed Rehabilitation Hospital is seeking a Provider Documentation and Billing Auditor to independently audit documentation, coding, and billing practices across the system. This role evaluates compliance with policies, federal/state laws, payer requirements, and industry standards to strengthen internal controls and support appropriate reimbursement.

The Auditor collaborates with clinical and leadership teams, develops remediation recommendations, educates staff, and helps prevent