Senior Coding Auditor: Multi-Specialty Compliance Expert

Med-Metrix; Parsippany-Troy Hills, Northern (NJ, KY); Hybrid; USD 75,000 - 110,000; Full time

Job summary

Med-Metrix seeks a Coding Auditor to conduct inpatient and outpatient coding and auditing across specialties, preparing and presenting audit results.

The role requires CPC or CCS certification, 5+ years coding and 2+ years auditing in multi-specialty settings, and strong communication skills. Responsibilities include education, HIPAA compliance, and collaboration with offsite auditors.

Qualifications

• 5+ years coding experience and 2+ years auditing in a multi-specialty setting.
• Must be able to use job-related software.
• Excellent written and verbal communication skills.
• Self-starter with ability to work independently.

Responsibilities

• Perform coding audits and compliance audits for providers, including physicians and mid-level providers; prepare reports and present audits.
• Apply appropriate coding and documentation guidelines (E/M, surgery, CPT/HCPCS, CCI) and specialty guidance.
• Educate physicians on audit findings and denial trends when needed.
• Complete coding audits for copartners’ coding WQ and work with offsite auditors.
• Evaluate and report on the quality of physician documentation supporting codes.
• Adhere to local/national coverage determinations and payer editing rules.
• Ensure documentation and coding of split/shared services and teaching physician guidelines.
• Compile, trend, analyze and report findings not meeting guidelines; maintain professionalism.
• Protect PHI per HIPAA; comply with information security policies; minimize PHI access.

Skills

Coding

Auditing

Microsoft Office

HIPAA

Communication

Attention to detail

Education

High School diploma or equivalent

CPC/CCS coding certification (AHIMA or AAPC)

Job description

Med-Metrix seeks a Coding Auditor to conduct inpatient and outpatient coding and auditing across specialties, preparing and presenting audit results.

The role requires CPC or CCS certification, 5+ years coding and 2+ years auditing in multi-specialty settings, and strong communication skills. Responsibilities include education, HIPAA compliance, and collaboration with offsite auditors.