External Auditor Physician

Job description

Scope Pro fee coder with a minimum of 3 years’ experience auditing EM and procedures across multiple specialties in particularly radiology, neuro and ortho at a trauma 1 facility. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, be the start time can be flexible within reason. For the first week of training candidates would need to be available 8a-5p CST Core Coding & Audit Expertise: - Advanced proficiency in CPT, HCPCS Level II, and ICD-10-CM coding guidelines - Strong expertise in Evaluation & Management (E/M) coding (office, hospital, consults, ED, critical care) - Extensive experience auditing procedure-based coding across multiple specialties (e.g., cardiology, orthopedics, radiology, neurosurgery, general surgery) - In-depth knowledge of NCCI edits, MUEs, modifier usage , and bundling/unbundling rules - Ability to evaluate and validate medical necessity and accurate code assignment Multi-Specialty Audit Experience: - Proven experience auditing professional fee coding across multiple specialties , such as: - Orthopedics - Cardiology - Radiology - Neurology/Neurosurgery - General Surgery - Internal Medicine / H...