Quality Auditor - Medical Coder (E/M OP&IP coding, Surgery coding)

Job Title: Quality Auditor - Coding

Job Summary:

We are seeking a detail-oriented Quality Auditor to evaluate and ensure the accuracy and quality of coding practices within our organization. The ideal candidate will have a strong background in coding standards, auditing processes, and quality assurance methodologies.

Key Responsibilities:

Conduct regular audits of coding documentation and processes to ensure compliance with industry standards and regulations.

Review and assess coding accuracy, completeness, and adherence to company policies.

Provide feedback and recommendations for improvement to coding teams.

Collaborate with cross-functional teams to address quality issues and implement corrective actions.

Maintain detailed records of audit findings and prepare reports for management.

Stay updated on coding best practices and regulatory changes affecting the industry.

Facilitate training sessions for coding staff on quality standards and practices.

Qualifications:

Certification in coding (e.g., CPC, CCS, or similar) preferred.

6+ years of experience in coding, auditing, or quality assurance in E/M OP&IP coding, Surgery coding.

Strong knowledge of coding systems (ICD-10, CPT, HCPCS) and regulatory requirements.

Excellent analytical, organizational, and communication skills.