{"schemaVersion":"jobsearcher.job.v1","id":"2dd4287fe66580a0ac078c90","url":"https://jobsearcher.com/jobs/2dd4287fe66580a0ac078c90","canonicalUrl":"https://jobsearcher.com/jobs/2dd4287fe66580a0ac078c90","title":"Physician Coding Auditor","description":"About Us\nMedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.\n\nPosition Location: 100% Remote\nPosition Classification: Full-time, 40 hour work week that offers a flexible schedule\n\nDescription:\nPhysician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.\nCandidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds NICU/PICU, and FQHC/RHC.\nResponsibilities:\nPerform professional compliance audits of coding and documentation including surgeries, visits, and other services for multiple provider types across multiple specialties, for multiple clients;\nAccurate application of appropriate coding and documentation guidelines, including ICD-10-CM Guidelines, CPT Coding Guidelines, AHA Coding Clinics, AMA, CMS, Specialty Association/Society guidance, and others, as applicable;\nAccurate selection of CPT codes for services performed;\nAccurate selection and application of modifiers to CPT codes;\nAccurate selection and evaluation of ICD-10-CM diagnosis coding;\nEvaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;\nAdherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor-specific policies, if applicable;\nAppropriateness of documentation for split/shared or incident-to services;\nAppropriateness of provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS, as applicable;\nAccurately score audits utilizing proper scoring methodology;\nIdentifies risk areas and provides mitigation strategies and recommendations;\nProvide detailed findings for each service reviewed on customized reports, including supporting documentation;\nPrepare and present audit follow-up education to clients;\nPrepare and present customized education materials based on the unique needs of the client remotely and on-site;\nCommunicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion;\nStay current on all coding guidelines (including specialty-specific guidelines), and maintain credentials as necessary;\nParticipate in department and education meetings;\nMaintain confidentiality and protect sensitive information;\nExhibit professional demeanor and communication (written and verbal);\nOther duties as assigned by leadership.\nEducation/Experience Requirements:\nHigh School diploma required. Associate or BS degree preferred.\nSuccessful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of the AAPC CPMA credential is required; preferably a combination of two or more credentials.\nMinimum 5 years of recent physician coding experience and 3 years of recent physician auditing experience are required.\nMust be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services.\nExperience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must.\nExperience creating and implementing audit plans. Experience educating providers one-on-one or in group settings.\nAdditional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems.\nExperience working with Google Suite is preferred but not required.\nExperience working remotely is preferred but not required.\nEpic and eClinicalWorks (ECW) experience is a PLUS.\nAbout MedKoder, LLC:\nPrivately held, growing company with strong values and ethics\nProfessional development and education\nAll positions are permanent – no contracts or sitting on a “coding bench”\nGenerous paid time off, holiday pay, and flexible scheduling year-round\nInternal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience\nUp to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees\n401K and Profit Sharing\nSTD, LTD, Life Insurance, and FSA Program\nPaid AAPC and AHIMA corporate memberships\n30 Hours of CEU pay (continuance in education)\nMedKoder is recognized nationally by Modern Healthcare as Best Place to Work\nf5jVMTpFOb","company":"Medkoder","rawCompany":"medkoder","city":"Remote","state":"OR","isRemote":false,"isActive":false,"createdAt":"2026-07-15T11:40:31.429Z","occupations":[{"code":"29-1229.00","title":"Physicians, All Other","slug":"physicians-all-other"},{"code":"29-1299.00","title":"Healthcare Diagnosing or Treating Practitioners, All Other","slug":"healthcare-diagnosing-or-treating-practitioners-all-other"},{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"}],"industries":[{"code":"621111","title":"Offices of Physicians (except Mental Health Specialists)","slug":"offices-of-physicians-except-mental-health-specialists"},{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"},{"code":"621399","title":"Offices of All Other Miscellaneous Health Practitioners","slug":"offices-of-all-other-miscellaneous-health-practitioners"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Physician Coding Auditor","description":"About Us\nMedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.\n\nPosition Location: 100% Remote\nPosition Classification: Full-time, 40 hour work week that offers a flexible schedule\n\nDescription:\nPhysician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.\nCandidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds NICU/PICU, and FQHC/RHC.\nResponsibilities:\nPerform professional compliance audits of coding and documentation including surgeries, visits, and other services for multiple provider types across multiple specialties, for multiple clients;\nAccurate application of appropriate coding and documentation guidelines, including ICD-10-CM Guidelines, CPT Coding Guidelines, AHA Coding Clinics, AMA, CMS, Specialty Association/Society guidance, and others, as applicable;\nAccurate selection of CPT codes for services performed;\nAccurate selection and application of modifiers to CPT codes;\nAccurate selection and evaluation of ICD-10-CM diagnosis coding;\nEvaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;\nAdherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor-specific policies, if applicable;\nAppropriateness of documentation for split/shared or incident-to services;\nAppropriateness of provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS, as applicable;\nAccurately score audits utilizing proper scoring methodology;\nIdentifies risk areas and provides mitigation strategies and recommendations;\nProvide detailed findings for each service reviewed on customized reports, including supporting documentation;\nPrepare and present audit follow-up education to clients;\nPrepare and present customized education materials based on the unique needs of the client remotely and on-site;\nCommunicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion;\nStay current on all coding guidelines (including specialty-specific guidelines), and maintain credentials as necessary;\nParticipate in department and education meetings;\nMaintain confidentiality and protect sensitive information;\nExhibit professional demeanor and communication (written and verbal);\nOther duties as assigned by leadership.\nEducation/Experience Requirements:\nHigh School diploma required. Associate or BS degree preferred.\nSuccessful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of the AAPC CPMA credential is required; preferably a combination of two or more credentials.\nMinimum 5 years of recent physician coding experience and 3 years of recent physician auditing experience are required.\nMust be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services.\nExperience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must.\nExperience creating and implementing audit plans. Experience educating providers one-on-one or in group settings.\nAdditional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems.\nExperience working with Google Suite is preferred but not required.\nExperience working remotely is preferred but not required.\nEpic and eClinicalWorks (ECW) experience is a PLUS.\nAbout MedKoder, LLC:\nPrivately held, growing company with strong values and ethics\nProfessional development and education\nAll positions are permanent – no contracts or sitting on a “coding bench”\nGenerous paid time off, holiday pay, and flexible scheduling year-round\nInternal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience\nUp to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees\n401K and Profit Sharing\nSTD, LTD, Life Insurance, and FSA Program\nPaid AAPC and AHIMA corporate memberships\n30 Hours of CEU pay (continuance in education)\nMedKoder is recognized nationally by Modern Healthcare as Best Place to Work\nf5jVMTpFOb","datePosted":"2026-07-15T11:40:31.429Z","dateModified":"2026-07-15T11:40:31.429Z","hiringOrganization":{"@type":"Organization","name":"Medkoder","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Remote","addressRegion":"OR","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"2dd4287fe66580a0ac078c90"},"url":"https://jobsearcher.com/jobs/2dd4287fe66580a0ac078c90"}}