Medical Coding Auditor, CPC, CPMA

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $57.7k - $80.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

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Veradigm®

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

☁️ SaaS

🤝 B2B

⚕️ Healthcare Insurance

🔥 Funding within the last year

💰 $75M Post-IPO Debt - Veradigm on 2025-06

SaaS • B2B • Healthcare Insurance

Veradigm is a healthcare technology company that provides cloud-based clinical, financial and data solutions for providers, payers and life-sciences organizations. Its offerings include electronic health records, practice management, revenue cycle services, e-prescribing, data exchange and APIs, real-world data and evidence platforms, analytics for quality and risk adjustment, and patient engagement tools — all delivered via a connected Veradigm Network to support care delivery, payer operations and research.

📋 Description

• Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback • Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance • Conduct medical chart audits of professional services across multiple specialties • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps • Support coding education through feedback, targeted training, and reference materials • Prepare clear, defensible audit documentation including rationale and references • Provide actionable recommendations to address audit findings and reduce future risk • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies • Support denial prevention, resolution and appeal strategies • Collaborate across teams to assist with coding support • Maintain confidentiality and comply with HIPAA and organizational policies

🎯 Requirements

• CPC (Required) • CPMA (Required/In Process) • 2+ years of ProFee auditing experience • Knowledge of E/M documentation guidelines • Modifier rules and NCCI edits • CPT, ICD‑10‑CM, HCPCS Level II • High attention to detail with strong analytical and critical‑thinking skills • Excellent written and verbal communication skills for audit reporting and education • Proficiency with EHRs, coding and auditing tools • Proficiency with Microsoft Office Suite

🏖️ Benefits

• medical, dental, and vision insurance • company paid life insurance • retirement savings • paid holidays and vacation