Clinical Experience Preferred

Now Hiring a Coding and Denial Auditor!

We’re seeking an experienced Coding Auditor / Denial Auditor to support hospital revenue cycle auditing, denial prevention, and reimbursement accuracy. This role focuses on inpatient and outpatient hospital claims. Physician billing experience a plus. Clinical experience strongly preferred to support medical necessity and documentation review.

Key Responsibilities

• Audit hospital inpatient and outpatient coding
• Review claim denials, underpayments, and appeals
• Identify coding, documentation, and medical necessity issues
• Apply ICD‑10‑CM/PCS, CPT, HCPCS and payer rules
• Support revenue integrity and denial reduction efforts
• Provide audit feedback and education to coding and revenue cycle teams

Qualifications

• Active credential: CCS, CPC, CIC, or CCS‑P