Certified Medical Coding Auditor, Robert Half

Robert Half

Location:
United States, Birmingham

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

We are looking for a detail-oriented Certified Medical Coding Auditor to join our team in Alabama. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation.

Job Responsibility:

Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases
ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider
apply appropriate charges for services such as Evaluation & Management (E&M) levels, injections, infusions, and other requirements for observation cases using third-party software systems
abstract required data in accordance with facility-specific guidelines
conduct medical necessity checks for Medicare and other payers based on established payment regulations
maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement
collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation
participate in audits and quality assurance activities to identify areas for improvement in coding accuracy
stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.

Requirements:

At least 1 year of experience in medical coding, preferably in outpatient settings
proficiency in ICD-10, CPT codes, and certified coding practices
strong knowledge of outpatient coding across various specialties, including OBGYN, interventional cardiology, vascular, urology, neurology, general surgery, anesthesiology, wound care, and neurological surgery
certification in medical coding (e.g., CPC, CCS, or equivalent) is required
familiarity with Epic software and other coding tools
ability to perform detailed reviews of medical records to ensure compliance with coding and billing standards
excellent analytical and problem-solving skills to identify and address coding discrepancies
strong communication skills to collaborate effectively with healthcare providers and team members.

What we offer:

Access to top jobs
competitive compensation and benefits
free online training
medical, vision, dental, and life and disability insurance
eligibility to enroll in company 401(k) plan.

Additional Information:

Job Posted:
September 17, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Certified Medical Coding Auditor