Coding Compliance Auditor

Job Responsibilities:

• Review medical records to ensure accurate coding per CMS, federal, and state guidelines.
• Conduct coding audits, identify discrepancies, and collaborate with clinical and compliance teams to resolve issues.
• Serve as a subject matter expert on pediatric and Medicaid coding, providing education and follow-up audits.

Qualifications:

• 5+ years of professional fee coding and auditing experience, specializing in E/M and outpatient coding.
• CPC, CCS, and CPMA certifications required; telehealth and Medicaid experience preferred.
• Strong knowledge of CPT, HCPCS, ICD-10, and EMR software like Athena Health.

Compensation and Benefits:

• Base salary $75,000 - $90,000 with annual bonus incentive and equity purchase program eligibility.
• Competitive benefits include medical, dental, vision, FSA, HSA, 401(k) with 4% match, and life insurance.
• 20 days PTO, 10 company holidays, 2 floating holidays, and paid new parent leave.