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Medical Coding Quality Auditor
Location
United States
Posted
131 days ago
Salary
$28 - $36 / hour
Seniority
Senior
Job Description
Medical Coding Quality Auditor
Vee Technologies
• Conduct routine and focused coding audits across multiple medical specialties (e.g., cardiology, orthopedics, general surgery, gastroenterology, radiology, internal medicine, etc.) • Review CPT®, ICD-10-CM, and HCPCS Level II coding for accuracy, completeness, and compliance with CMS, OIG, and payer-specific rules • Evaluate medical record documentation to ensure accurate code assignment and adherence to medical necessity and coding guidelines • Identify trends, patterns, and recurring coding errors; collaborate with coders and leadership to implement corrective actions • Prepare detailed audit reports summarizing findings, accuracy rates, and recommendations for improvement • Provide one-on-one or group coder education and feedback based on audit outcomes • Assist in the development and maintenance of internal audit tools, policies, and training materials • Stay current on coding updates, compliance regulations, and industry best practices • Participate in internal compliance reviews and support external audits as needed • Contribute to process improvement initiatives that enhance coding quality and operational efficiency
Job Requirements
- Associate’s or Bachelor’s degree in Health Information Management, Health Administration, or a related field (preferred)
- Active coding certification required: CPC, COC, or CCS (AAPC or AHIMA)
- CPMA (Certified Professional Medical Auditor) or equivalent auditing credential strongly preferred
- Minimum 5 years of experience in professional or facility coding across multiple specialties
- Minimum 2 years of experience in coding auditing or quality review preferred
- Strong understanding of CPT®, ICD-10-CM, and HCPCS Level II coding systems and payer guidelines
- Experience with EHRs and coding/audit software tools (e.g., 3M, Epic, Optum, or similar)
Benefits
- full health insurance including medical/dental/vision
- PTO
- 401k match
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