Senior ER Coding Auditor
Occupations:
Health Information Technologists and Medical RegistrarsMedical Records SpecialistsAccountants and AuditorsCompliance ManagersEmergency Medicine PhysiciansIndustries:
Continuing Care Retirement Communities and Assisted Living Facilities for the ElderlyHome Health Care ServicesOther Ambulatory Health Care ServicesColleges, Universities, and Professional SchoolsOffices of PhysiciansJob Summary (Par time-Potential for Fulltime)The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codesValidate E/M level selection for emergency department visitsEnsure compliance with payer guidelines and regulatory standards (CMS, HIPAA)Identify under coding, over coding, and documentation deficienciesPrepare detailed audit reports with corrective recommendationsProvide education and feedback to coders and providersTrain and mentor offshore coding teams on ER coding guidelines and audit findingsConduct regular quality review sessions and calibration meetings with offshore staffDevelop and update training materials, Review SOPs, and coding guidelinesMonitor offshore team performance and provide ongoing coachingTrack audit findings and identify trends to improve coding qualityAssist in denial management and revenue cycle improvementStay current with coding updates and industry changesRequired Certifications (MANDATORY)One or more of the following: CPC / CPC-A (Certified Professional Coder)CCS (Certified Coding Specialist)COC (Certified Outpatient Coder)CPMA (Certified Professional Medical Auditor) – Highly PreferredQualifications Minimum 3–5 years of ER (Emergency Room) coding experience for facility and professional billing requiredAt least 1–2 years of auditing experiencePrior experience training or managing offshore teams preferredStrong knowledge of ER-specific coding and E/M guidelinesExperience with EHR/EMR systemsPowered by JazzHR