Remote Senior Facility Auditor – Medical Coding Expert

Nuvance Health; Town of Florida (NY); Remote; USD 39,000 - 73,000; Full time

Job summary

Northwell Health is seeking a detail-oriented Senior Professional Facility Auditor to join our Facility Charging and Coding team. In this role, you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered.

Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding guidelines will drive accuracy and improve documentation and billing practices across the organization.

Qualifications

• CPC/CCS-P/COC/RHIT or RHIA with coding/auditing experience.
• Outpatient facility coding auditing incl. Interventional Radiology, Cardiac Cath, Outpatient Surgery.
• Strong knowledge of medical terminology and coding regulations.

Responsibilities

• Conduct comprehensive audits of ICD-10, CPT4, HCPCS, E/M codes for facility and professional services.
• Lead educational sessions for coders based on audit findings to reinforce CMS and CMS regs.
• Stay current with CMS, NGS Medicare, AAPC, and OIG updates to ensure up-to-date coding standards.
• Collaborate with physician and hospital coding leadership to identify documentation and coding trends.
• Perform accurate coding and charging for complex services including interventional radiology and vascular procedures.
• Utilize internal systems to ensure audit accuracy and reporting efficiency.
• Participate in team meetings, ongoing education, and continuous improvement initiatives.
• Maintain high standards for customer service, teamwork, safety, and compliance.
• Perform additional duties as assigned.

Skills

CPC

CCS-P

COC

RHIT

RHIA

Education

Associate’s degree or higher

Job description

Northwell Health is seeking a detail-oriented Senior Professional Facility Auditor to join our Facility Charging and Coding team. In this role, you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered.

Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding guidelines will drive accuracy and improve documentation and billing practices across the organization.