Physician Auditor / Coder

TL;DR

Physician Auditor / Coder (Medical Coding): Performing audits of E/M coding and documentation compliance for providers, including physicians and mid-levels, with an accent on accurate CPT/ICD-10 selection, modifiers, and medical necessity evaluation. Focus on identifying up-coded/down-coded services, applying NCCI edits/LCDs/NCDs, and providing detailed findings via spreadsheets.

Location: Fully remote (US-based healthcare coding/auditing)

Company

hirify.global provides coding and auditing services for healthcare clients.

What you will do

• Conduct audits of E/M coding and documentation compliance for physicians and mid-level providers.
• Apply coding guidelines including CPT, ICD-10, E/M documentation, NCCI edits, LCDs/NCDs, and payer policies.
• Evaluate code selection for accuracy, up-coding/down-coding, modifiers, procedures, and medical necessity.
• Assess documentation quality for split/shared services, Teaching Physician Guidelines, PQRS, FQHC/RHC.
• Score audits using methodology and deliver detailed findings in Excel or customized reports.
• Communicate with Coding Team Lead on timelines and task completion.

Requirements

• High-school diploma minimum, Associates preferred; AHIMA/AAPC certification (CCS, CPC etc.), CPMA certification required, active and in good standing, preferably multiple credentials.
• Minimum 3 years physician coding and 3 years E/M/surgical auditing experience.
• Proficient in medical terminology, CPT/ICD-10 coding, Medicare/Medicaid billing policies for professional services.
• Experience with MS Word, Excel, PowerPoint, Windows, healthcare info/billing systems.
• Strong independent work skills, time management, ability to meet deadlines.

Culture & Benefits

• Fully remote permanent position.
• Flexible schedule.