Senior Facility Auditor – Remote Medical Coding

Northwell Health; United States; On-site; USD 39,000 - 73,000; Full time

Job summary

Northwell Health is seeking a Senior Professional Facility Auditor for remote work to audit facility and professional coding and ensure documentation supports services rendered. You will review ICD-10, CPT4, HCPCS and UB04 codes, work with leadership to identify trends, and drive improvements in billing accuracy.

Ideal candidates hold CPC/CCS-P/COC/RHIT or RHIA with auditing experience, plus an Associate's degree or higher.

Qualifications

• Advanced knowledge of medical terminology, anatomy, physiology, and federal/state documentation and billing regulations.
• Extensive experience auditing both facility and professional medical coding.
• Proficiency in coding complex encounters and using relevant coding systems and software.

Responsibilities

• Conduct comprehensive audits of ICD-10, CPT4, HCPCS, E/M codes, medical supplies, orders, and UB04/revenue codes for both facility and professional services.
• Lead educational sessions for coders based on audit findings to reinforce compliance with CMS, Medicare, state/federal regulations, and internal policies.
• Stay current with CMS, NGS Medicare, AAPC, and OIG updates, bulletins, and compliance requirements to ensure up-to-date coding standards.
• Collaborate with physician and hospital coding leadership to identify documentation and coding trends, errors, and improvement opportunities.
• Perform accurate coding and charging for complex clinical services, including interventional cardiology, radiology, and vascular procedures.
• Utilize internal systems and applications with a high level of competency to ensure audit accuracy and reporting efficiency.
• Participate in team meetings, ongoing education, and continuous improvement initiatives to support departmental goals.
• 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

CIRCC

CCC

Anatomy and Physiology coursework

Job description

Northwell Health is seeking a Senior Professional Facility Auditor for remote work to audit facility and professional coding and ensure documentation supports services rendered. You will review ICD-10, CPT4, HCPCS and UB04 codes, work with leadership to identify trends, and drive improvements in billing accuracy.

Ideal candidates hold CPC/CCS-P/COC/RHIT or RHIA with auditing experience, plus an Associate's degree or higher.