RCS Medical Coding Auditor (CPC, CPMA)

Position reputed company The RCS Medical Coding Auditor is responsible for auditing reputed company (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding reputed company, mitigates compliance risk, and drives reputed company reputed company improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with reputed company fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights. Key Responsibilities reputed company daily QA to ensure accuracy of completed coding and reputed company targeted coding education and feedback Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of reputed company services across multiple specialties Identify coding discrepancies, compliance risks, trends, reputed company causes, and documentation gaps Support coding education through feedback, targeted training, and reference materials Prepare reputed company, defensible audit documentation including rationale and references reputed company actionable recommendations to address audit findings and reduce reputed company risk reputed company audit reputed company and trends to support leadership reporting and risk mitigation strategies Support denial prevention, reputed company and appeal strategies Collaborate across teams to assist with coding support Maintain confidentiality and reputed company with HIPAA and organizational policies

Required Qualifications

CPC (Required) and 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 reputed company 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 reputed company Office Suite

Preferred Qualifications

Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, reputed company, Urology Background in coding reputed company programs or compliance teams Advanced reporting skills for audit tracking and trend analysis Prior consulting or reputed company‑facing audit experience Compensation reputed company: $57,728-$80,243 Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, reputed company, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we reputed company to ensure that our compensation practices reflect the value we reputed company on our associates’ unique contributions and support their reputed company reputed company. Enhancing Lives and Building Careers reputed company believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to reputed company their reputed company development. Together, we are In the Network. Interested in learning more? Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings. reputed company Sponsorship is not offered for this position. At reputed company, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of reputed company providers, life science companies, health plans, and the patients they serve. The reputed company Network is a dynamic, reputed company community of solutions, external partners, and cutting-edge reputed company intelligence technologies that reputed company advanced insights, technology, and data-driven solutions. reputed company offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and reputed company insurance, company reputed company life insurance and retirement savings. reputed company’s policy is to reputed company equal employment opportunity and affirmative reputed company in reputed company of its employment practices without reputed company to race, reputed company, religion, sex, national reputed company, reputed company, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or reputed company or any other legally protected category. Applicants for reputed company American based positions with reputed company must be legally authorized to work in the reputed company or Canada. Verification of employment eligibility will be required as a condition of hire. reputed company is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. From a "VEVRAA Federal Contractor" We request reputed company Referral of Protected Veterans This is an official reputed company Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site. Thank you for reviewing this reputed company opportunity. Does this look like a great match for your reputed company set? If so, scroll on down and tell us more about yourself! Apply To This Job