Vee Technologies

Our Mission: To Globalize Success to Make Lives Better

Quality Auditor

AuditorAuditorFull TimeRemoteTeam 5,001-10,000Since 2000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

82 days ago

Salary

Not specified

Bachelor Degree5 yrs expEnglish

Job Description

• Conduct routine and focused coding audits across multiple medical specialties (e.g., cardiology, orthopedics, general surgery, gastroenterology, radiology, internal medicine, etc.). • Review CPT®, ICD-10-CM, and HCPCS Level II coding for accuracy, completeness, and compliance with CMS, OIG, and payer-specific rules. • Evaluate medical record documentation to ensure accurate code assignment and adherence to medical necessity and coding guidelines. • Identify trends, patterns, and recurring coding errors; collaborate with coders and leadership to implement corrective actions. • Prepare detailed audit reports summarizing findings, accuracy rates, and recommendations for improvement. • Provide one-on-one or group coder education and feedback based on audit outcomes. • Assist in the development and maintenance of internal audit tools, policies, and training materials. • Stay current on coding updates, compliance regulations, and industry best practices. • Participate in internal compliance reviews and support external audits as needed. • Contribute to process improvement initiatives that enhance coding quality and operational efficiency.

Job Requirements

  • Associate’s or Bachelor’s degree in Health Information Management, Health Administration, or a related field (preferred).
  • Active coding certification required: CPC, COC, or CCS (AAPC or AHIMA).
  • CPMA (Certified Professional Medical Auditor) or equivalent auditing credential strongly preferred.
  • Additional specialty credentials (e.g., CIRCC, CDEO, or CCS-P) are advantageous.
  • Minimum 5 years of experience in professional or facility coding across multiple specialties.
  • Minimum 2 years of experience in coding auditing or quality review preferred.
  • Strong understanding of CPT®, ICD-10-CM, and HCPCS Level II coding systems and payer guidelines.
  • Experience with EHRs and coding/audit software tools (e.g., 3M, Epic, Optum, or similar).

Benefits

  • Full health insurance including medical/dental/vision
  • PTO
  • 401k match

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