Coding Auditor

Ascension•Jacksonville, FL

10h•$31 - $42•Remote

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.
Minimum three years of Professional Fee Coding and Auditing experience, including a strong understanding of coding compliance, documentation review, revenue cycle processes, and billing/coding best practices.
Candidates with coding audit experience are strongly preferred over those whose experience is primarily focused on production coding.
Surgical Coding and Physician Partnership, with demonstrated experience with surgical authorizations and the ability to effectively partner with physicians through coding education, documentation improvement, and provider engagement initiatives.
Active Certified Professional Coder (CPC) or Certified Coding Specialist – Physician-Based (CCS-P) certification required upon hire.

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.