Medical Auditor

J. Morrissey

  • Branford, CT
  • 8 days ago

    Highlights

    Our client is seeking an experienced Coding Auditor/Educator to ensure coding accuracy, regulatory compliance, and ongoing clinician education. The ideal candidate combines strong outpatient coding and auditing expertise with a proactive, confident approach to compliance and education.

    Numbers & Facts

    LocationBranford, CT

    Description

    Coding Auditor/CPC
    Our client is seeking an experienced Coding Auditor/Educator to ensure coding accuracy, regulatory compliance, and ongoing clinician education. The ideal candidate combines strong outpatient coding and auditing expertise with a proactive, confident approach to compliance and education.
    Key Responsibilities
    • Audit patient charts and E&M services daily to ensure coding accuracy, documentation compliance, and medical necessity.
    • Apply Medicare guidelines, OIG requirements, and applicable regulatory standards.
    • Follow established auditing programs and identify coding errors, documentation gaps, and compliance risks.
    • Educate clinicians, including physicians and nurses, and internal employees on proper coding practices.
    • Provide coding education and onboarding for new clinicians.
    • Communicate audit findings and corrective feedback constructively while holding individuals accountable.
    • Understand the broader impact of coding practices on compliance, reimbursement, and patient care.
    Required Qualifications
    • CPC certification required.
    • Proven experience auditing patient records and medical documentation.
    • Strong outpatient coding and E&M auditing experience.
    • Knowledge of Medicare guidelines, OIG requirements, and medical necessity.
    • Experience following an established auditing program.
    • EMR experience required; Epic experience preferred.
    • Strong communication, education, and interpersonal skills.
    • A confident, detail-oriented, take-charge approach to identifying errors and addressing compliance concerns.
    Ideal Candidate
    A proactive professional who balances compliance enforcement with education, is comfortable speaking up when practices are incorrect, and can deliver difficult feedback positively and professionally.
    Excellent pay DOE
    #INDH
     

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