Remote Provider Documentation & Billing Auditor (Limited Duration)

Mary Free Bed; United States; Remote; USD 75,000 - 110,000; Full time

Job summary

Mary Free Bed Rehabilitation Hospital is seeking a Provider Documentation and Billing Auditor for a limited duration to support leave coverage. The role focuses on auditing provider documentation, coding, billing, and reimbursement practices to ensure compliance with federal/state laws, payer guidelines, and internal policies.

You will identify risks, monitor processes, and collaborate with clinical and revenue cycle leaders to strengthen controls and improve documentation accuracy.

Qualifications

• Bachelor’s degree or higher in health information management, healthcare administration, nursing or related field.
• 2-5 years of provider coding and billing experience in professional services.
• Extensive knowledge of E/M CPT ICD-10-CM HCPCS and payer requirements.
• Strong understanding of healthcare compliance policies and auditing principles.

Responsibilities

• Conduct audits of provider documentation, coding, and billing for compliance.
• Evaluate accuracy and adequacy of clinical documentation for billed services.
• Identify overpayments/underpayments and recommend corrective actions.
• Educate providers and staff on documentation and billing requirements.
• Maintain audit workpapers and collaborate with Compliance, revenue cycle, and clinical leadership.

Skills

Auditing

Healthcare compliance

Coding knowledge

Problem solving

Education

Bachelor's degree in HIM or health admin

Job description

Mary Free Bed Rehabilitation Hospital is seeking a Provider Documentation and Billing Auditor for a limited duration to support leave coverage. The role focuses on auditing provider documentation, coding, billing, and reimbursement practices to ensure compliance with federal/state laws, payer guidelines, and internal policies.

You will identify risks, monitor processes, and collaborate with clinical and revenue cycle leaders to strengthen controls and improve documentation accuracy.