Surgical Coding Audit Specialist

Alteva RCM; United States; A distancia; USD 80.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

401(k) employer match

Paid family leave

Short-term disability

Life insurance

Flexible spending accounts

Employee referral program

Descripción de la vacante

Alteva RCM is seeking a Coding Auditor to perform routine coding audits across surgical specialties and client accounts. The role ensures accurate code assignment, documentation alignment, and compliance with guidelines and payer requirements.

You will document findings, support corrective action, and help educate auditees. Ideal candidates hold CPMA with CPC/CCS/RHIT/RHIA, have 5+ years in surgical coding and at least 1 year in audits, and are proficient with the Microsoft Office suite.

Formación

• Active CPMA plus one or more of the following required: CPC, CCS, RHIT, RHIA
• 5+ years of surgical coding experience with at least 1 year of coding audit experience; 2+ years preferred
• Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred

Responsabilidades

• Conduct routine coding audits across assigned specialties and client accounts to assess coding accuracy and compliance
• Evaluate documentation and coded events for accuracy, modifiers, units, and payer requirements
• Apply ICD-10-CM, CPT, HCPCS rules and payer requirements to audit findings with references
• Prepare audit reports and provide corrective action recommendations
• Maintain confidential patient information per HIPAA and regulatory requirements
• Assist in education and re-audit activities to measure corrective action effectiveness

Conocimientos

CPMA Certification

CPC

CCS

RHIT

RHIA

Microsoft Excel

Microsoft Word

Microsoft Outlook

Educación

CPMA Certification

Herramientas

Microsoft Excel

Microsoft Word

Microsoft Outlook

Descripción del empleo

Alteva RCM is seeking a Coding Auditor to perform routine coding audits across surgical specialties and client accounts. The role ensures accurate code assignment, documentation alignment, and compliance with guidelines and payer requirements.

You will document findings, support corrective action, and help educate auditees. Ideal candidates hold CPMA with CPC/CCS/RHIT/RHIA, have 5+ years in surgical coding and at least 1 year in audits, and are proficient with the Microsoft Office suite.