[Hiring] Surgery Coding Auditor @Managed Resources

Role Description

The primary responsibility of the Surgery Coding 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 Surgery Coding Auditor plays a vital role in ensuring accurate, compliant surgical coding and complete clinical documentation. Through focused audits, education, and process improvement, they support revenue integrity, reduce compliance risk, and promote consistent coding practices. By ensuring surgical services are accurately represented in the medical record, they contribute to quality reporting, operational excellence, and overall organizational success.

Qualifications

• Must have one of the following current credentials from AAPC or AHIMA; CPC
• A minimum of five - 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.
• 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.
• 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