REMOTE Medical Coding Auditor

Post Date

Apr 26, 2023

Location

Miami,
Florida

ZIP/Postal Code

33156
US
Jun 24, 2025 Insight Global

Job Type

Contract-to-perm

Category

Medical Coder

Req #

HFL-619379

Pay Rate

$26 - $39 (hourly estimate)

Job Description

-Responsible for conducting audits according to the Internal Audit Program standards and specifications

-Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions.

-Interacts with physicians, APPs, coders, and other appropriate staff regarding billing an documentation policies, procedures, and regulations. Conducts audit presentations and on-demand trainings of providers (future).

-Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency directives for ICD-10-CM and CPT coding

-Completes online education courses and attends mandatory coding workshops and/or seminars (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding

-Reviews AHA and CPT quarterly coding update publications

-Attends all internal conference calls for Quarterly Coding Updates

Required Skills & Experience

CPMA & CPC

-1+ years' experience of provider coding audits

-E&M (evaluation and management) and procedure coding background

-Associate's degree or equivalent work experience

Nice to Have Skills & Experience

-eClinical Works experience

-GI experience

-Ancillary coding experience (pathology, anesthesia, surgery, etc.)

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.