Regulatory Services Coding Auditor

The Regulatory Services Coding Auditor ensures accurate medical coding, compliance, and billing efficiency.

• Conduct retroactive audits to validate E/M coding accuracy.
• Analyze audit results and present outcomes to management and providers.
• Maintain up-to-date knowledge of coding processes and legislative changes.

Collaborate with multiple departments to ensure proper documentation and coding standards.

• Support departments with claims research and appeals.
• Identify and communicate recurring coding or reimbursement issues.
• Resolve denial trends and coding-related payment delays.

The role requires independence, attention to detail, and ethical standards.

• Work efficiently in a hybrid environment, attending meetings and training.
• Maintain patient confidentiality and adhere to regulatory standards.
• Maintain up-to-date knowledge of coding processes and legislative changes.