Certified Coding Auditor

Focused on auditing outpatient and specialty claims, the full-time Certified Coding Auditor will manage clinical chart validation and coding accuracy while working remotely, utilizing advanced coding expertise and audit tools to ensure compliance and quality standards. Key responsibilities Audits outpatient and specialty claims using medical chart coding principles and client-specific guidelines Effectively utilizes audit tools and maintains productivity and quality standards set by the audit Identifies new claim types and recommends new concepts and processes to enhance audit production and client satisfaction Required qualifications Associate or bachelor's degree in Health Information Management (RHIA or RHIT) or equivalent work experience Coding certification (e.g., CPC, CIC, CCS, CCS-P, RHIA, or RHIT) required and maintained 5 to 7 years of experience in clinical medical record coding or auditing, with knowledge of HIPAA and CMS requirements Expert knowledge of coding guidelines, including DRG, ICD-10, CPT, and HCPCS codes Ability to work independently and collaboratively in a team environment