Senior Facility Auditor - Medical Coding (Remote)

Nuvance Health Med Practice CT; United States; Remote; USD 39,000 - 73,000; Full time

Job summary

Nuvance Health Med Practice CT is seeking a Senior Professional Facility Auditor to join our Facility Charging and Coding team. This remote, full-time role focuses on conducting in-depth audits of ICD-10, CPT4, HCPCS, E/M codes for facility and professional services to ensure documentation supports services rendered.

The ideal candidate has extensive experience in facility and professional coding auditing, strong knowledge of medical terminology, anatomy, physiology, and CMS/Medicare

Qualifications

• Required: CPC, CCS-P, COC, RHIT with coding/auditing experience.
• RHIA with coding/auditing experience is preferred.
• Advanced knowledge of medical terminology, anatomy, physiology, and billing regulations.
• Extensive experience auditing facility and professional medical coding.
• Proficiency in coding complex encounters and using coding systems.

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 compliance.
• Stay current with CMS, Medicare, state/federal regulations and internal policies.
• Collaborate with leadership to identify documentation and coding improvement opportunities.
• Perform accurate coding and charging for complex clinical services.
• Utilize internal systems to ensure audit accuracy and reporting efficiency.
• Participate in team meetings and continuous improvement initiatives.

Skills

Auditing experience

Medical terminology

Regulatory compliance

Education

Associate's degree or higher

CIRCC

CCC

Tools

Coding software

Job description

Nuvance Health Med Practice CT is seeking a Senior Professional Facility Auditor to join our Facility Charging and Coding team. This remote, full-time role focuses on conducting in-depth audits of ICD-10, CPT4, HCPCS, E/M codes for facility and professional services to ensure documentation supports services rendered.

The ideal candidate has extensive experience in facility and professional coding auditing, strong knowledge of medical terminology, anatomy, physiology, and CMS/Medicare