Senior ER Coding Auditor

Exceptional Healthcare Inc.•Dallas, TX

About The Position

The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.

Requirements

CPC / CPC-A (Certified Professional Coder)
CCS (Certified Coding Specialist)
COC (Certified Outpatient Coder)
CPMA (Certified Professional Medical Auditor) – Highly Preferred
Minimum 3–5 years of ER (Emergency Room) coding experience for facility and professional billing required
At least 1–2 years of auditing experience
Strong knowledge of ER-specific coding and E/M guidelines
Experience with EHR/EMR systems

Nice To Haves

Prior experience training or managing offshore teams preferred

Responsibilities

Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes
Validate E/M level selection for emergency department visits
Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA)
Identify under coding, over coding, and documentation deficiencies
Prepare detailed audit reports with corrective recommendations
Provide education and feedback to coders and providers
Train and mentor offshore coding teams on ER coding guidelines and audit findings
Conduct regular quality review sessions and calibration meetings with offshore staff
Develop and update training materials, Review SOPs, and coding guidelines
Monitor offshore team performance and provide ongoing coaching
Track audit findings and identify trends to improve coding quality
Assist in denial management and revenue cycle improvement
Stay current with coding updates and industry changes