View Our Website View All Jobs

Physician Auditor / Coder

Medkoder is looking for an experienced multi-specialty, certified professional coder with extensive knowledge of coding and auditing, for various E/M and surgical auditing projects with our clients.  This is a FT REMOTE permanent position that offers the opportunity to work a flexible schedule.

  • Performing audits of E/M coding and documentation compliance audits for providers, including physicians and mid-level providers;
  • Accurate application of appropriate coding and documentation guidelines, including Evaluation and Management Documentation Guidelines, CPT Coding Guidelines, Coding Clinics, Specialty Association guidance and others, as applicable;
  • Accurate selection of CPT codes to determine if the code was assigned without appropriate documentation to support the code (up-coded services);
  • Accurate selection of CPT codes to determine if the code was assigned with documentation to support a higher level service (down-coded services);
  • Accurate selection of CPT codes for procedures performed; Accurate application of modifiers to CPT codes; Accurate selection and evaluation of ICD-10 CM diagnosis coding;
  • Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;
  • Adherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor specific policies, if applicable;
  • Appropriateness of documentation for split/shared or incident to services;
  • Appropriateness of provider’s documentation related to Teaching Physician Guidelines, PQRS, FQHC and RHC's as applicable;
  • Use scoring methodology to accurately score audits;
  • Provide detailed findings for each service reviewed on an excel spreadsheet or other customized report, including supporting documentation;
  • Communicate with Coding Team Lead on audit timeline task completion.


Education/Cert:  A minimum of a high-school diploma, Associates Degree preferred. Successful completion of at least one AHIMA or AAPC certified program with achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing, preferably a combination of two or more credentials.  A CPMA certification is required.

Experience: Minimum 3 years physician coding experience and 3 years E&M and surgical auditing experience required. Must have proficient knowledge of medical terminology, CPT and/or ICD-9/10 coding and Medicare and Medicaid billing policies for professional services.

Additional skills required: Experience with Microsoft Word, Excel, PowerPoint, Windows and healthcare information and billing systems. Experience working independently, excellent time management skills and the ability to meet project deadlines a must.

Read More

Apply for this position

Apply with Indeed
Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file

To comply with government Equal Employment Opportunity / Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more.
Veteran/Disability status