Coding Auditor

AIDS Healthcare FoundationLos Angeles, CA
13h

About The Position

The Coding Auditor contributes to AHF by conducting comprehensive reviews of medical documentation, coding, and billing to ensure regulatory compliance and revenue integrity. This position also plays a critical role in managing Coding Artificial Intelligence (AI) workflows, reviewing claims held by the AI, validating coding recommendations, and ensuring appropriate resolution. The auditor provides clear feedback and education to improve documentation accuracy, coding quality, and system efficiency. The Coding Auditor enhances the reputation of AHF by delivering outstanding services that results in patient loyalty. You will be a passionate advocate for our top initiatives. To be successful as the Coding Auditor, it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF, we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. AHF has a collaborative organizational structure where staff are accountable to multiple leaders. The Coding Auditor will work as a part of a close-knit team to accurate and compliant coding, thorough documentation reviews, and the resolution of Coding AI–held claims. The auditor ensures proper ICD-10, CPT, and HCPCS assignment, confirms regulatory compliance, and supports clean-claim submission by validating AI-generated coding recommendations. This role collaborates with providers, coders, and billing teams to reduce denials, improve revenue integrity, and strengthen consistent documentation and coding practices across the organization.

Responsibilities

  • accurate and compliant coding
  • thorough documentation reviews
  • resolution of Coding AI–held claims
  • ICD-10, CPT, and HCPCS assignment
  • confirms regulatory compliance
  • supports clean-claim submission by validating AI-generated coding recommendations
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