Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance
Conduct medical chart audits of professional services across multiple specialties
Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
Support coding education through feedback, targeted training, and reference materials
Prepare clear, defensible audit documentation including rationale and references
Provide actionable recommendations to address audit findings and reduce future risk
Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
Support denial prevention, resolution and appeal strategies
Collaborate across teams to assist with coding support
Maintain confidentiality and comply with HIPAA and organizational policies

CPC (Required)
CPMA (Required/In Process)
2+ years of ProFee auditing experience
Knowledge of E/M documentation guidelines
Modifier rules and NCCI edits
CPT, ICD‑10‑CM, HCPCS Level II
High attention to detail with strong analytical and critical‑thinking skills
Excellent written and verbal communication skills for audit reporting and education
Proficiency with EHRs, coding and auditing tools
Proficiency with Microsoft Office Suite

Medical Coding Auditor, CPC, CPMA

Key skills