Senior Medical Coding Auditor – Primary Care & Gynecology

All inclusive preventive care; Miami Gardens (FL); On-site; USD 35,817,600 - 57,859,200; Part time

Benefits offered by this job

Flexible schedule

Work from home options

Job summary

All inclusive preventive care in Miami, FL, is seeking a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice focusing on Primary Care and Gynecology. The role reviews provider notes before submission to ensure accurate coding, proper E/M levels, and compliance while supporting optimal reimbursement.

You will work with providers and the billing team to reduce denials, improve documentation quality, and maintain regulatory compliance.

Qualifications

• Minimum 3 years of physician coding experience in Primary Care, Family Medicine, Internal Medicine, and/or Gynecology.
• Thorough knowledge of 2021+ E/M Documentation Guidelines.
• Advanced knowledge of CPT, ICD-10-CM, HCPCS Level II, and modifier usage.
• Experience performing pre-bill coding reviews and documentation audits.
• Excellent communication and collaborative skills.

Responsibilities

• Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission.
• Validate appropriate E/M level selection according to AMA and CMS guidelines.
• Review and validate CPT, ICD-10-CM, HCPCS codes, and appropriate modifiers.
• Review coding for Primary Care and Gynecology services to ensure documentation supports all billed services.
• Ensure documentation fully supports the services billed.
• Identify coding discrepancies, documentation deficiencies, and compliance concerns.
• Return encounters to providers when documentation clarification or corrections are required.
• Collaborate with providers and the billing department to minimize denials and coding-related claim rejections.
• Assist providers in improving clinical documentation to accurately support medical necessity and coding.
• Monitor coding trends and identify opportunities to improve reimbursement while maintaining compliance.
• Participate in provider education, internal coding audits, and documentation improvement initiatives.

Skills

Analytical skills

Attention to detail

Communication skills

Collaboration with providers

Coding audits

Tools

eClinicalWorks (eCW)

Job description

All inclusive preventive care in Miami, FL, is seeking a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice focusing on Primary Care and Gynecology. The role reviews provider notes before submission to ensure accurate coding, proper E/M levels, and compliance while supporting optimal reimbursement.

You will work with providers and the billing team to reduce denials, improve documentation quality, and maintain regulatory compliance.