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Auditor, Medical Coding
Location
United States
Posted
10 hours ago
Salary
$31 - $35 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Auditor, Medical Coding
Lucet
Role Description The Medical Coding Auditor performs concurrent and retrospective medical coding audits to ensure coding accuracy, regulatory compliance, reimbursement integrity, and documentation quality while providing actionable feedback and collaborating with stakeholders to drive continuous improvement in coding practices and audit outcomes. Coding Audit, Accuracy & Compliance - Conduct concurrent and retrospective chart audits to validate coding accuracy, completeness, specificity, and adherence to coding guidelines and regulatory requirements. - Identify coding errors, compliance risks, and potential fraud, waste, or abuse concerns while maintaining coding integrity and supporting appropriate reimbursement. Quality Improvement & Operational Performance - Analyze audit trends, root causes, and error patterns; document findings and utilize reporting tools to support data-driven decision making. - Lead and support quality improvement initiatives by recommending workflow, process, training, and policy enhancements to improve coding quality and consistency. Stakeholder Collaboration & Education - Communicate audit findings effectively and provide constructive coaching and education to coders and internal partners. - Collaborate with coding leadership, educators, and operational teams to maintain audit consistency, support calibration efforts, and ensure adherence to organizational and regulatory standards. Qualifications - 2+ years of experience in medical chart auditing/quality in the healthcare field. - In good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CCS, CPC-P, CCS-P or PCS with a high degree of competence in this area. - Advanced proficiency in coding guidelines and regulations. - Experience in review/audit of medical records coding and development of process improvement plans. - Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology. - Strong working knowledge of ICD-10-CM/PCS coding guidelines. - Ability to pass background check upon hire and throughout employment. Requirements - Ability to problem solve with the ability to encourage others in collaborative problem solving. - Excellent analytical, written and verbal communication skills, organizational, time management. Benefits - Hourly compensation between $30.80 - $35.00, PLUS an annual performance-based, discretionary incentive. - Comprehensive health benefit options: Medical, dental, and vision coverage. - 401(k) with competitive employer match. - Company-paid life and disability insurance. - Paid parental leave and wellbeing incentives. - Generous paid time off, including volunteer time. - Flexible spending accounts for healthcare and dependent care. - Professional development opportunities and tuition reimbursement. - Remote work flexibility (role-dependent). - Opportunity for meaningful growth, both personally and professionally.
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