Senior Medical Coding Auditor & Revenue Integrity

Northside Hospital; Atlanta (GA); On-site; USD 70,000 - 90,000; Full time

Job summary

Northside Hospital is seeking a Medical Records Auditor to review documentation and ensure accurate CPT, ICD-10, HCPCS coding and modifier assignments for patient claims. The Auditor will follow policy for audit schedules and deliver professional reports to physicians and leadership.

Responsibilities include applying CMS guidelines, educating staff on coding results, and maintaining a 90%+ accuracy rate while meeting production standards. Strong communication and privacy compliance are essential.

Qualifications

• B.S. degree as required; substitute 8–10 years of relevant experience for degree.
• Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN).
• Minimum 1 year hospital and/or physician practice coding experience.
• Demonstrated communication skills and ability to work independently.
• Knowledge of Microsoft Office products.

Responsibilities

• Review medical record documentation for accurate ICD-10, CPT, HCPCS coding.
• Audit using CMS guidelines and apply official coding rules.
• Educate providers, staff, and coders based on audit results.
• Explain complex coding and compliance concepts clearly in writing and speech.
• Maintain high accuracy rate and timely completion per QA standards.
• Communicate with Auditing Supervisor and maintain documentation.
• Support in market rate studies and revenue cycle projects as needed.

Skills

Attention to detail

Communication

Public speaking

Problem solving

Independent work

Education

B.S. degree in Nursing

B.S. degree in Health Information Management

B.S. degree in Healthcare Administration

B.S. degree in Business Administration

Tools

Microsoft Office

Job description

Northside Hospital is seeking a Medical Records Auditor to review documentation and ensure accurate CPT, ICD-10, HCPCS coding and modifier assignments for patient claims. The Auditor will follow policy for audit schedules and deliver professional reports to physicians and leadership.

Responsibilities include applying CMS guidelines, educating staff on coding results, and maintaining a 90%+ accuracy rate while meeting production standards. Strong communication and privacy compliance are essential.