Medical Auditor – Clinical Documentation & Coding Compliance
New York, United States of America
Full Time
20 hours ago
$52 USD
No H1B
Key skills
Communication
About this role
Role Overview
- Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules.
- Perform detailed retrospective and prospective coding audits
- Prepare audit findings and summary reports
- Identify compliance risks and recommend corrective actions
- Provide education to coders and clinical staff
- Monitor trends and regulatory updates from CMS, OIG, and payers
Requirements
- CPC, CPMA, CCS, or related credential
- 3+ years of coding/auditing experience
- Strong understanding of coding compliance and documentation standards
- Ideal for individuals with both coding expertise and regulatory audit experience.
- Strong communication and presentation abilities
- Expert knowledge of ICD-10, CPT, HCPCS
- Analytical and investigative skills