Senior ER Coding Auditor

Job description

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities: Required Certifications (MANDATORY) - Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes - Validate E/M level selection for emergency department visits - Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) - Identify under coding, over coding, and documentation deficiencies - Prepare detailed audit reports with corrective recommendations - Provide education and feedback to coders and providers - Train and mentor offshore coding teams on ER coding guidelines and audit findings - Conduct regular quality review sessions and calibration meetings with offshore staff - Develop and update training materials, Review SOPs, and coding guidelines - Monitor offshore team performance and provide ongoing coaching - Track audit findings and identify trends to improve coding qu...