[Hiring] Professional Fee Coding Auditor @Managed Resources

Role Description

The primary responsibility of the Professional Auditor is to audit CPT, HCPCS, ICD-10-CM, Modifiers, Units and identify documentation and coding discrepancies and improvements based on medical record documentation.

A Professional Auditor plays a vital role in organizational success by promoting accurate, compliant coding and complete clinical documentation across multiple specialties. Through quality audits, education, and process improvement, they strengthen revenue integrity, reduce compliance risk, and support consistent coding practices. By helping ensure the medical record accurately reflects the care provided, they also contribute to meaningful quality reporting and improved patient outcomes while advancing client success, operational excellence, and business growth.

Qualifications

• Must have one of the following current credentials from AAPC or AHIMA; CPC
• A minimum of seven years’ experience required auditing CPT, E&M, HCPCS and ICD-10-CM codes.
• Requires advanced technical knowledge in specific surgical and medical specialties as assigned.
• Extensive knowledge of medical terminology.
• Experience in researching and applying coding rules and regulations.
• Experience working in an audit software tool.
• Proficiency in Microsoft Excel, Word, and various EMR (Electronic Medical Record) systems including, but not limited to, EPIC.
• Excellent oral and written communication skills.
• Excellent time management and organizational skills.
• Have a positive, respectful attitude.

Requirements

• Audit all E/M, CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documentation.
• Enter audit data into audit software or other audit report.
• Evaluate the overall quality of physician documentation for quality improvement measures.
• Perform accurate coding using applicable guidelines and client protocols.
• Communicate with client and/or providers as needed (i.e. coding clarification, missing documentation, etc.)
• Provide written feedback on audit results in the form of chart level comments, summary findings and recommendations.
• Communicate with Project Manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.).
• Track and enter time accurately and timely into our timekeeping system.
• Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.
• Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
• Other duties as assigned.

Benefits

• Part-Time Employees eligibility to participate in the Company’s 401(k) Retirement Plan.
• Phone and Internet Stipend.
• Professional Development Opportunities.
• Employee Recognition Programs.
• Participation in Company Events and Celebrations.
• Remote Work Environment.