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Auditor, Medical Coding
LucetMedical Coding Auditor performing audits for coding accuracy in behavioral and physical health solutions. Collaborating with stakeholders to drive ongoing improvement in coding practices and outcomes.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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)
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical coding auditschart auditscoding accuracycoding guidelinesICD-10-CMICD-10-PCSmedical terminologyanatomyphysiologypharmacology
Soft Skills
collaborationcommunicationcoachingfeedbackcontinuous improvementproblem-solvinganalytical skillsleadership
Certifications
CPCCRCCCSCPC-PCCS-PPCSAAPCAHIMA