Senior Coding Compliance Auditor: ICD-10 & CPT Expert

Central Health; Austin (TX); Remote; USD 70,000 - 95,000; Full time

Job summary

Central Health in Austin, TX is seeking a Healthcare Compliance Coding Auditor to conduct coding audits and communicate results to providers, staff and leadership. The role includes training, reviewing CPT/HCPCS and ICD-10 codes, and updating coding processes annually.

Responsibilities include identifying coding discrepancies, guiding improvements, and ensuring compliance with Medicare/Medicaid and private payers. Collaboration across departments and ongoing education are required.

Qualifications

• Proficiency in CPT, HCPCS, ICD-10-CM coding for billing.
• Knowledge of medical terminology, disease processes and pharmacology.
• Strong attention to detail and accuracy.
• Excellent verbal, written and communication skills.
• Ability to multi-task and manage multiple priorities.
• Excellent organizational skills.
• Proficient in Microsoft Office Suite.
• Critical thinking and problem solving.
• Ability to provide data and recommend process improvements.

Responsibilities

• Conduct prospective and retrospective chart reviews comparing notes to CPT/HCPCS and ICD codes against payer requirements.
• Identify coding discrepancies and formulate improvement suggestions.
• Communicate audit results to providers and staff and share improvement ideas.
• Assist providers with coding in collaboration with medical staff departments.
• Report findings to compliance and executive leadership.
• Provide continuing education on CPT/HCPCS and ICD coding.
• Support government and private payer regulations compliance.
• Collaborate with departments to ensure accuracy of reported services.
• Order and distribute annual coding materials for all sites.
• Advise on coding guidelines and regulatory updates with department personnel.
• Participate in EHR template development and coding compliance enhancements.
• Perform other duties as assigned.

Skills

CPT/HCPCS/ICD-10 coding knowledge

Medical terminology

Attention to detail

Communication skills

Multi-tasking

Organizational skills

Critical thinking

Data analysis

Education

High School Diploma or equivalent

Associates Degree

CPC or CCS certification

Tools

Microsoft Office Suite

Job description

Central Health in Austin, TX is seeking a Healthcare Compliance Coding Auditor to conduct coding audits and communicate results to providers, staff and leadership. The role includes training, reviewing CPT/HCPCS and ICD-10 codes, and updating coding processes annually.

Responsibilities include identifying coding discrepancies, guiding improvements, and ensuring compliance with Medicare/Medicaid and private payers. Collaboration across departments and ongoing education are required.