Senior E/M Coding Auditor

Alteva RCM; Oregon; Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Health

Dental

Vision

Employee assistance plan

Paid family leave

Short-term disability

Life insurance

401(k) plan with employer match

Flexible spending accounts

Employee discount program

Employee referral program

Job summary

Alteva RCM seeks an E/M Coding Auditor to perform routine evaluation and management coding audits across specialties, providers, coders, and client accounts, ensuring accuracy, documentation sufficiency, and compliance with AMA CPT E/M guidelines and payer requirements.

You collaborate with the Senior Coding Auditor and Coding Audit Manager to develop skills, deliver quality audit results, and grow within the audit program while supporting corrective action and education initiatives.

Qualifications

• Active CPMA plus one or more of the following required: CPC, CCS, RHIT, RHIA.
• 5+ years of E/M coding experience with at least 1 year of coding audit experience; 2+ years preferred.
• Working knowledge of current AMA CPT E/M and CMS documentation guidelines.
• Proficiency in Microsoft Office applications; experience with reporting and data analysis tools preferred.

Responsibilities

• Audit Execution: review clinical documentation and coded encounters for accuracy and compliance with guidelines.
• Evaluate relationships between documentation and E/M codes, including MDM, service level, and modifiers.
• Apply CPT E/M, CMS, ICD-10-CM, HCPCS guidelines and payer requirements to audit findings.
• Complete assigned audits within turnaround expectations and department standards.
• Escalate complex cases to Senior Coding Auditor as needed.
• Finding Documentation & Reporting: document findings with root cause and corrective recommendations.
• Prepare audit reports and maintain organized audit records.
• Corrective Action & Education Support: provide feedback and assist with education sessions.
• Compliance Monitoring & Confidentiality: stay current with guidelines and protect PHI.

Skills

Communication skills

Multitasking

Deadline-driven

Education

CPMA

CPC

CCS

RHIT

RHIA

Tools

Microsoft Office

Excel

Word

Outlook

Job description

Alteva RCM seeks an E/M Coding Auditor to perform routine evaluation and management coding audits across specialties, providers, coders, and client accounts, ensuring accuracy, documentation sufficiency, and compliance with AMA CPT E/M guidelines and payer requirements.

You collaborate with the Senior Coding Auditor and Coding Audit Manager to develop skills, deliver quality audit results, and grow within the audit program while supporting corrective action and education initiatives.