Auditor, Billing & Coding - Remote

Overview

The Auditor, Billing & Coding is a certified coding professional responsible for reviewing clinical documentation and coding accuracy across independent primary care practices. This role provides chart audits, coding education, and compliance support to ensure practices document and bill correctly, reducing audit risk and maximizing appropriate reimbursement. The focus is consultative—empowering practices through feedback, tools, and ongoing guidance.

In Short

• Conduct retrospective chart audits for coding accuracy, modifier usage, and documentation sufficiency.
• Review patterns related to E/M coding, preventive services, incident-to coding and HCC risk adjustment.
• Provide direct feedback and education to providers and practice staff on coding and documentation best practices.
• Coordinate with Aledade contracted coding vendor for seamless integration and issue resolution.
• Identify systemic gaps in documentation or coding and work with practice leadership to address.
• Stay current with Medicare and commercial payer policies and ensure practice-level compliance.
• Assist in developing educational materials, playbooks, and tip guides for common coding issues.
• Other duties as assigned.

Requirements

• High school diploma or equivalent.
• Minimum of 8 years of medical billing and coding experience in an ambulatory care or outpatient office setting, preferably primary care.
• AAPC Certified Professional Coder (CPC) certification OR Certified Coding Specialist-Professional (CCS-P) certification through American Health Information Management Association (AHIMA).

Benefits

• Prolonged periods of sitting at a desk and working on a computer.