Coding & Billing Auditor – Medical Coding - CBAMCNK

NavitasPartners•Dover, DE

2d•$53,000 - $81,000•Onsite

About The Position

We are seeking an experienced Certified Professional Coder (CPC) to join a hospital-based team as a Coding & Billing Auditor. This fully onsite role focuses on auditing provider documentation, validating ICD-10 and CPT coding accuracy, ensuring regulatory compliance, and providing education to physicians and revenue cycle staff. The ideal candidate will bring strong professional (physician) coding expertise, experience in office-based coding across multiple specialties, and a proven ability to collaborate directly with providers to improve documentation and coding accuracy.

Requirements

Associate Degree in a related field.
Certified Professional Coder (CPC) credential – Required.
Minimum five (5) years of inpatient and/or outpatient coding and auditing experience.
Strong professional (physician) coding experience in a medical office setting.
Experience working directly with physicians to provide documentation education and feedback.

Nice To Haves

Bachelor’s Degree in a related field.
Experience with multi-specialty group practice coding.

Responsibilities

Audit medical records to validate ICD-10-CM and CPT code accuracy.
Ensure clinical documentation appropriately supports billed services.
Prepare detailed audit reports outlining findings, trends, and corrective recommendations.
Maintain audit logs and meet established productivity and quality benchmarks.
Conduct routine and biannual audits of established provider documentation.
Provide education and feedback to physicians and staff regarding documentation and coding guidelines.
Collaborate with Revenue Cycle leadership to design and improve documentation tools and workflows.
Develop and implement both formal and informal provider education plans.
Train new revenue cycle team members on coding standards and compliance requirements.
Assist leadership with coding performance evaluations and improvement initiatives.
Perform coding duties as needed to support departmental operations.
Ensure adherence to federal, state, and payer-specific documentation and reporting requirements.