ED Billing Auditor - Remote

Overview

The ED Billing Auditor is responsible for conducting audits of emergency department billing and coding to ensure compliance and accuracy, while collaborating with various teams to improve processes.

In Short

• Conduct audits of ED billing and coding for accuracy and compliance.
• Review provider documentation supporting billed services.
• Identify patterns of coding errors and medical necessity issues.
• Collaborate with coders, billers, and providers for error correction.
• Prepare detailed audit reports with findings and recommendations.
• Stay updated with regulatory changes from CMS and payers.
• Work with compliance and quality assurance teams to improve workflows.
• Participate in internal and external audits.
• Develop internal policies and audit plans for ED coding practices.
• Review clinical documentation and provide feedback.

Requirements

• 3+ years of experience in medical billing or coding focused on ED services.
• Certification required: CPC, CPMA, or CCS-P.
• In-depth knowledge of E/M guidelines and CMS billing rules.
• Strong familiarity with coding for ED services.
• Experience with EMR and billing systems.
• Excellent analytical and documentation skills.
• Strong communication skills for feedback.

Benefits

• Opportunity for professional growth and development.
• Work in a collaborative environment.
• Flexible work arrangements.
• Competitive salary and benefits package.