[Hiring] Medical Coding Auditor @Community Health System Services LLC

Role Description

As our next Medical Coding Auditor, you will be responsible for reviewing and auditing documentation and coding across multiple specialties, ensuring accuracy through the appropriate use of CPT, ICD-10-CM, HCPCS, and modifiers.

• Deliver audit reports.
• Provide provider education.
• Support coders in addressing identified compliance opportunities.
• Coding responsibilities may also be assigned as needed to support overall team priorities.

The ideal candidate brings a strong attention to detail and a commitment to accuracy when reviewing medical records and assigning codes. Clear written and verbal communication skills are essential to effectively collaborate with physicians and healthcare providers.

Qualifications

• 3–5 years of coding experience.
• Strong working knowledge of ICD-10, CPT-4, and HCPCS coding within a physician billing environment.
• Confident understanding of current E/M guidelines and specifications.
• Experience with reimbursement and billing across Medicare Part B, Medicaid, and other third-party payers.
• Familiarity with data entry in a physician billing setting.
• Detail-oriented mindset and commitment to accuracy.

Requirements

• Understanding of billing platforms and claim workflows—how coding feeds into reimbursement, denials, and appeals within the revenue cycle.
• Experience with Epic is a plus.
• Demonstrated strong analytical skills.
• Intermediate to advanced Excel proficiency to support data analysis, reporting, and insight generation.
• High school diploma or equivalent, along with additional coursework through recognized coding seminars or programs.
• Current coding certification from AAPC or AHIMA (such as RHIT, CCS, CPC, etc.) is required.
• Auditing certification (CCA, CPMA, or Certified Professional Medical Auditor) is a plus.
• Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force.

Benefits

• Mission-Driven Work: Ensuring technology serves health systems and their patients.
• Autonomy & Ownership: Lead projects, define success, and manage complexities.
• A Culture of Innovation: Encouragement of fresh perspectives and risk-taking.
• Continuous Growth: Opportunities to expand skillset and mentor others.