Coding Auditor

AscensionPensacola, FL
$31 - $42Remote

About The Position

Conduct independent, structured audits of professional-fee coding records across varied ambulatory specialties—auditing CPT, HCPCS, ICD 10-CM, modifiers, E/M services, medical necessity, and provider documentation. Analyze complex audit findings and deliver clear, constructive reports to practice managers, coding leadership, and clinical stakeholders. Design and facilitate engaging educational programs for physicians, Advanced Practice Providers (APPs), coders, billers, and practice leaders to address documentation gaps and evolving regulatory standards. Identify recurring coding trends or uncaptured revenue, partnering with practice teams to build corrective action plans that elevate overall billing integrity. Assist in managing and refining auditing frameworks, proactively targeting high-risk compliance areas across AMG practice operations.

Requirements

  • High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required.
  • 1 year of experience required.
  • Active CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician based) credential upon hire.
  • Minimum of 3 years of dedicated professional-fee (Pro-Fee) coding experience within physician practices or ambulatory care networks.

Responsibilities

  • Conduct independent, structured audits of professional-fee coding records across varied ambulatory specialties—auditing CPT, HCPCS, ICD 10-CM, modifiers, E/M services, medical necessity, and provider documentation.
  • Analyze complex audit findings and deliver clear, constructive reports to practice managers, coding leadership, and clinical stakeholders.
  • Design and facilitate engaging educational programs for physicians, Advanced Practice Providers (APPs), coders, billers, and practice leaders to address documentation gaps and evolving regulatory standards.
  • Identify recurring coding trends or uncaptured revenue, partnering with practice teams to build corrective action plans that elevate overall billing integrity.
  • Assist in managing and refining auditing frameworks, proactively targeting high-risk compliance areas across AMG practice operations.

Benefits

  • Paid time off (PTO)
  • Various health insurance options & wellness plans
  • Retirement benefits including employer match plans
  • Long-term & short-term disability
  • Employee assistance programs (EAP)
  • Parental leave & adoption assistance
  • Tuition reimbursement
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