Coder - Counter Affidavit & Auditing (TEXAS BASED ONLY - MUST RESIDE)

Dane Street, LLC • West Palm Beach, FL

7h • Remote

About The Position

We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense.

Requirements

• Active CPC certification through the American Academy of Professional Coders (AAPC)
• Minimum 5 years of professional coding experience
• At least 3 years of Texas-based coding experience required
• Strong knowledge of Texas Medicaid (TMHP) and Texas commercial payer policies
• Prior audit and utilization review experience required
• Experience supporting legal cases, depositions, or expert testimony strongly preferred
• Excellent written documentation and reporting skills
• Ability to work independently and meet deadlines
• Texas residency is a requirement.

Nice To Haves

• CPMA preferred
• Experience supporting legal cases, depositions, or expert testimony strongly preferred

Responsibilities

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS)
• Conduct utilization reviews to determine medical necessity and documentation compliance
• Review and prepare demand packages and audit response materials
• Analyze records for payer disputes and recoupments
• Prepare written audit findings and defensible reports
• Provide expert support for depositions and testimony as needed
• Review E/M services under 2021+ guidelines
• Interpret CMS, LCD/NCD, and payer-specific policies
• Identify risk areas and compliance vulnerabilities

Benefits

• medical, dental, and vision coverage for you and your family
• voluntary life insurance options for you, your spouse, and your children
• hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• basic life insurance, short-term disability, and long-term disability coverage at no cost
• generous paid time off policy
• 401k plan with a company match
• Apple equipment and a media stipend are provided for remote workspace

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed