Senior Multi-State Medical Coding Auditor & Litigation Support

Dane Street, LLC

Georgia

On-site

USD 90,000 - 130,000

Part time

14 days+

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Benefits offered by this job

Health insurance
401(k) with employer match
Remote workspace equipment
Paid time off
Short/long-term disability

Job summary

Dane Street, LLC is seeking an experienced CPC-certified medical coder with multi-state auditing experience to perform coding audits, utilization reviews, and demand package reviews for personal injury and insurance cases. The role requires reviewing records across multiple states and payer environments and providing deposition and testimony support when needed.

The ideal candidate will have 5–7 years of professional coding experience, strong CMS/regulatory knowledge, and the ability to work

Qualifications

  • Active CPC certification through AAPC (CPMA preferred).
  • 5–7 years of professional coding experience.
  • Experience performing audits or utilization reviews across multiple states.
  • Knowledge of CMS regulations and state Medicaid variations.
  • Experience with Medicare/Medicare Advantage and commercial payer audits.
  • Prior demand package review or litigation support experience required.
  • Deposition/testimony history preferred.
  • Excellent written reporting and analytical skills.
  • Ability to work independently and meet strict deadlines.

Responsibilities

  • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS).
  • Conduct utilization reviews to assess medical necessity and documentation compliance.
  • Review demand package components for personal injury and insurance cases.
  • Analyze records for payer disputes, recoupments, and appeals.
  • Prepare detailed, defensible audit reports.
  • Provide expert review, affidavit support, and deposition preparation/testimony as needed.
  • Interpret CMS guidelines, LCD/NCD policies, and state payer rules.
  • Review E/M services under 2021+ guidelines.
  • Identify compliance risks and documentation deficiencies.

Skills

CPC certification
Multistate auditing
Medical coding
CMS/Medicaid knowledge
Deposition/testimony experience
Strong analytical reporting
Independent work ethic

Job description

Dane Street, LLC is seeking an experienced CPC-certified medical coder with multi-state auditing experience to perform coding audits, utilization reviews, and demand package reviews for personal injury and insurance cases. The role requires reviewing records across multiple states and payer environments and providing deposition and testimony support when needed.

The ideal candidate will have 5–7 years of professional coding experience, strong CMS/regulatory knowledge, and the ability to work

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