Auditor, Medical Coding

🔥 14 hours ago

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Lucet

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

Healthcare Insurance • SaaS • B2B

Lucet is a tech-enabled behavioral health company that combines human care teams and digital tools to connect individuals to timely, in-network mental health and substance-use care. It partners with health plans, employers, providers, and members through portals (employer/HR, member, provider, partner) and services such as EAP, care navigation, and provider resources to optimize access, quality, and value-driven behavioral healthcare.

📋 Description

• Perform concurrent and retrospective medical coding audits to ensure coding accuracy, regulatory compliance, reimbursement integrity, and documentation quality while providing actionable feedback and collaborating with stakeholders to drive continuous improvement in coding practices and audit outcomes. • Conduct concurrent and retrospective chart audits to validate coding accuracy, completeness, specificity, and adherence to coding guidelines and regulatory requirements. • Identify coding errors, compliance risks, and potential fraud, waste, or abuse concerns while maintaining coding integrity and supporting appropriate reimbursement. • Analyze audit trends, root causes, and error patterns; document findings and utilize reporting tools to support data-driven decision making. • Lead and support quality improvement initiatives by recommending workflow, process, training, and policy enhancements to improve coding quality and consistency. • Communicate audit findings effectively and provide constructive coaching and education to coders and internal partners. • Collaborate with coding leadership, educators, and operational teams to maintain audit consistency, support calibration efforts, and ensure adherence to organizational and regulatory standards.

🎯 Requirements

• 2+ yrs. experience in medical chart auditing/quality in the healthcare field • In good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CCS, CPC-P, CCS-P or PCS with high degree of competence in this area • Advanced proficiency in coding guidelines and regulations • Experience in review/audit of medical records coding and development of process improvement plans • Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology. • Strong working knowledge of ICD-10-CM/PCS coding guidelines.

🏖️ Benefits

• Comprehensive health benefit options: Medical, dental, and vision coverage • 401(k) with competitive employer match • Company-paid life and disability insurance • Paid parental leave and wellbeing incentives • Generous paid time off, including volunteer time • Flexible spending accounts for healthcare and dependent care • Professional development opportunities and tuition reimbursement • Remote work flexibility (role-dependent)