[Hiring] Medical Coding Auditor @Nym Health

Role Description

Are you an experienced medical coding auditor with a strong background in any of our six specialties? We’re seeking a detail-oriented Medical Coding Auditor to join our team and play a key role in reviewing and analyzing medical records to ensure precise coding for level of service complex procedures, diagnoses, and other services.

In this role, you’ll audit documentation for compliance with healthcare regulations and payer guidelines, helping to uphold the highest standards of accuracy and integrity. The ideal candidate brings deep knowledge of coding classifications, medical terminology, and regulatory requirements, along with a sharp eye for detail and a passion for driving improvements in the quality and accuracy of Nym’s products.

Roles & Responsibilities

• Auditing: Review and audit medical charts that have been coded by an autonomous coding engine against national coding guidelines and client-specific SOPs, using Nym’s proprietary coding and auditing software to ensure correct coding practices and compliance with industry standards. Identify areas for improvement and provide recommendations for correction.
• Medical Coding: Accurately assign ICD-10, CPT, HCPCS, and other relevant codes to diagnoses, procedures, and services provided, ensuring correct coding practices and compliance with industry standards.
• Compliance: Ensure all coding and documentation practices align with legal, regulatory, and ethical guidelines, including HIPAA, Medicare, and Medicaid requirements.
• Reporting: Generate and present reports on audit findings, coding discrepancies, and overall compliance trends. Provide actionable insights to improve processes and reduce coding errors.
• Collaboration: Work closely with client stakeholders and internal Nym teams to serve as the subject matter expert and to drive alignment between Nym product and client requirements. Participate in customer calls, helping to ensure customers understand the nuances of autonomous coding capabilities.
• Continuing Education: Stay updated with the latest changes in coding systems, regulations, and industry standards to ensure continued compliance and best practices. Assist the team in monitoring current industry trends for potential impacts on the configuration of the Nym coding engine.

Qualifications

• At least 3+ years of outpatient coding and/or auditing experience.
• A minimum of one of the following certifications is required and must be maintained: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Outpatient Coder (COC), Certified Ambulatory Surgery Center Coder (CASCC), or Certified Professional Coder (CPC).
• Experience with Surgical Specialty Organizations (ex. AAOS, ACG, ACOG, etc.) references are a plus but not required.
• Experience with ACEP (American College of Emergency Physicians) and Emergency Department Facility and Professional Fee coding is a plus.
• Excellent analytical skills, attention to detail, and the ability to communicate complex information effectively.
• Ability to maintain confidentiality and adhere to ethical standards in all aspects of the job.
• Strong organizational skills and the ability to work independently as well as part of a team.
• Living/working in the Eastern Time Zone is strongly preferred.

Requirements

• At least 3+ years of outpatient coding and/or auditing experience.
• A minimum of one of the following certifications is required and must be maintained: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Outpatient Coder (COC), Certified Ambulatory Surgery Center Coder (CASCC), or Certified Professional Coder (CPC).
• Experience with Surgical Specialty Organizations (ex. AAOS, ACG, ACOG, etc.) references are a plus but not required.
• Experience with ACEP (American College of Emergency Physicians) and Emergency Department Facility and Professional Fee coding is a plus.
• Excellent analytical skills, attention to detail, and the ability to communicate complex information effectively.
• Ability to maintain confidentiality and adhere to ethical standards in all aspects of the job.
• Strong organizational skills and the ability to work independently as well as part of a team.
• Living/working in the Eastern Time Zone is strongly preferred.

Benefits

• Competitive salary and performance-based bonus
• Comprehensive health, dental, and vision insurance
• Unlimited paid time off (PTO)
• Opportunities for career growth and professional development
• Flexible work environment
• Remote employee perks, such as monthly meal budget, home office stipend, and utilities reimbursement
• Approximate compensation: $55,000-$65,000. Final package may vary and will be determined by various factors including location the role is expected to be performed, candidate experience, education and ideal qualifications.