Coding Auditor

🔥 10 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Perform inpatient and outpatient coding and auditing for various specialties • Perform coding audits and compliance audits for physicians and mid-level providers • Prepare audit reports and present audits to internal and external parties as needed • Apply coding and documentation guidelines, including E&M, surgery documentation, CCI, CPT/HCPCS, and specialty association guidance • Provide physician education based on audit findings and edit or denial trending • Complete coding audits for copartners’ coding WQ • Work with offsite auditors • Evaluate and report on the quality of physician documentation supporting selected codes and medical necessity • Adhere to local and national coverage determinations, CCI, and payer-specific editing rules • Ensure appropriate documentation and coding of split/shared services, teaching physician guidelines, and client-specific quality assessment programs • Compile, trend, analyze, and report findings that do not meet applicable guidelines • Protect and disclose patients’ PHI in accordance with HIPAA standards • Comply with Information Security and HIPAA policies and procedures • Limit viewing of PHI to the minimum necessary to perform assigned duties • Perform other duties as assigned by the management team

🎯 Requirements

• High School diploma or equivalent required • CPC or CCS coding certification required from AHIMA or AAPC • Minimum 5 years of coding experience • Minimum 2 years auditing experience in a multi-specialty setting • Must be able to use job-related software • Self-starter with ability to work independently • Proficiency in Microsoft Office Suite • Strong interpersonal skills and ability to communicate well at all levels of the organization • Strong problem solving and creative skills and ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results oriented • Excellent written and verbal communication skills required • Must possess a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to follow directions, collaborate with others, and handle stress

🏖️ Benefits

• Remote work arrangement • Use of job-related software and Microsoft Office Suite • Multifactor authentication and security support for a smartphone or electronic device