{"schemaVersion":"jobsearcher.job.v1","id":"fdda33b2297fa7fdb1d7ff08","url":"https://jobsearcher.com/jobs/fdda33b2297fa7fdb1d7ff08","canonicalUrl":"https://jobsearcher.com/jobs/fdda33b2297fa7fdb1d7ff08","title":"Coding Denials Auditor","description":"EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.\n\nPosition Summary\n\nThe Coding Denials Auditor provides analysis of coded medical services, reports, records, and billed charges, etc. to determine appropriateness of the medical coding utilized, delivery of care and treatment plans. The Coding Denials Auditor will use their expertise and coding expertise to communicate internally and externally.\nKey Responsibilities\nConducts coding audits of submitted claims to determine appropriateness of procedure and diagnosis codes billed based on documentation provided for both outpatient facility and professional claims.\nReviews Billing for accuracy to ensure compliance of proper billing and coding procedures of third-party carriers and to ensure complete and accurate reimbursement.\nCoordinates with revenue cycle teams to investigate rejected or denied claims to determine denial accuracy and work in an inter-departmental collaboration process to assist in claim corrections/appeals\nEffectively utilizes computer and appropriate software (Microsoft Office Suite) to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment, including a basic to intermediate level of competency in Excel which is required\nMaintains knowledge regarding medical coding and/or healthcare market changes.\nGather and analyze claims and medical records information pertinent to documentation findings and outcomes; use this information to make educated decisions.\nDraft appeals to payors using nationally sourced coding guidelines such as CPT Assistant, specialty societies, state fee schedule language, AAPC/AHIMA articles etc.\nOther duties as required.\nRequirements and Qualifications\nAssociates or Bachelor’s Degree\nCurrent certification in one of the following: Certified Professional Coder (CPC) or related certification by AAPC, Certified Coding Associate (CCA) by AHIMA, Certified Coding Specialist (CCS) by AHIMA, Registered Health Information Technician (RHIT) by AHIMA.\nThe applicant must have a strong background in orthopedics and surgery billing/coding. The ideal candidate has 5+ years of experience in orthopedic surgery billing, a solid background in coding and medical billing, with special emphasis on AR, EOB's, and overall account management, including coding denials.\nMust be able to gather and analyze claims and medical records information pertinent to documentation findings and outcomes; use this information to make educated decisions.\nMust have strong written communication skills. This position requires the ability to draft grammatically correct well written appeals to payors using nationally sourced coding guidelines such as CPT Assistant, specialty societies, state fee schedule language, AAPC/AHIMA articles etc.\nSound time management skills with the ability to manage workload independently\nStrong analytical, problem solving and research skills with the ability to utilize creative thinking\nMust be comfortable with CAC/Encoder audits and be able to identify appropriate code selection from audit findings.\nEquivalent combination of education and experience will be considered.\nAbility and skill set to work remotely.\nTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions\nMust have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).\nRegular and predictable attendance.\nSpecial Considerations and Prerequisites\nFamiliarity with healthcare documentation systems.\nExperience with multiple fee schedule concepts such as DRGs, APCs, and NCCI.\nStrong verbal, written and interpersonal communication and customer service skills.\nAbility to communicate audit outcomes and testing results with other staff within the company who are both medically and non-medically oriented.\nAbility to interpret policies and procedures and communicate complex topics to others.\nAbility to think critically and make decisions within individual role and responsibility.\nComplex Claims medical billing and coding experience strongly preferred.\nEnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.\n\nEnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.\n\n Don’t just take our word for it! Hear what our people are saying:\n“I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist\n\n“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations\n\nWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.","company":"Enablecomp","rawCompany":"enablecomp","city":"Myrtle Point","state":"OR","isRemote":false,"isActive":false,"createdAt":"2026-10-06T19:21:03.711Z","occupations":[{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"},{"code":"43-3031.00","title":"Bookkeeping, Accounting, and Auditing Clerks","slug":"bookkeeping-accounting-and-auditing-clerks"}],"industries":[{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"},{"code":"621399","title":"Offices of All Other Miscellaneous Health Practitioners","slug":"offices-of-all-other-miscellaneous-health-practitioners"},{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Coding Denials Auditor","description":"EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.\n\nPosition Summary\n\nThe Coding Denials Auditor provides analysis of coded medical services, reports, records, and billed charges, etc. to determine appropriateness of the medical coding utilized, delivery of care and treatment plans. The Coding Denials Auditor will use their expertise and coding expertise to communicate internally and externally.\nKey Responsibilities\nConducts coding audits of submitted claims to determine appropriateness of procedure and diagnosis codes billed based on documentation provided for both outpatient facility and professional claims.\nReviews Billing for accuracy to ensure compliance of proper billing and coding procedures of third-party carriers and to ensure complete and accurate reimbursement.\nCoordinates with revenue cycle teams to investigate rejected or denied claims to determine denial accuracy and work in an inter-departmental collaboration process to assist in claim corrections/appeals\nEffectively utilizes computer and appropriate software (Microsoft Office Suite) to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment, including a basic to intermediate level of competency in Excel which is required\nMaintains knowledge regarding medical coding and/or healthcare market changes.\nGather and analyze claims and medical records information pertinent to documentation findings and outcomes; use this information to make educated decisions.\nDraft appeals to payors using nationally sourced coding guidelines such as CPT Assistant, specialty societies, state fee schedule language, AAPC/AHIMA articles etc.\nOther duties as required.\nRequirements and Qualifications\nAssociates or Bachelor’s Degree\nCurrent certification in one of the following: Certified Professional Coder (CPC) or related certification by AAPC, Certified Coding Associate (CCA) by AHIMA, Certified Coding Specialist (CCS) by AHIMA, Registered Health Information Technician (RHIT) by AHIMA.\nThe applicant must have a strong background in orthopedics and surgery billing/coding. The ideal candidate has 5+ years of experience in orthopedic surgery billing, a solid background in coding and medical billing, with special emphasis on AR, EOB's, and overall account management, including coding denials.\nMust be able to gather and analyze claims and medical records information pertinent to documentation findings and outcomes; use this information to make educated decisions.\nMust have strong written communication skills. This position requires the ability to draft grammatically correct well written appeals to payors using nationally sourced coding guidelines such as CPT Assistant, specialty societies, state fee schedule language, AAPC/AHIMA articles etc.\nSound time management skills with the ability to manage workload independently\nStrong analytical, problem solving and research skills with the ability to utilize creative thinking\nMust be comfortable with CAC/Encoder audits and be able to identify appropriate code selection from audit findings.\nEquivalent combination of education and experience will be considered.\nAbility and skill set to work remotely.\nTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions\nMust have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).\nRegular and predictable attendance.\nSpecial Considerations and Prerequisites\nFamiliarity with healthcare documentation systems.\nExperience with multiple fee schedule concepts such as DRGs, APCs, and NCCI.\nStrong verbal, written and interpersonal communication and customer service skills.\nAbility to communicate audit outcomes and testing results with other staff within the company who are both medically and non-medically oriented.\nAbility to interpret policies and procedures and communicate complex topics to others.\nAbility to think critically and make decisions within individual role and responsibility.\nComplex Claims medical billing and coding experience strongly preferred.\nEnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.\n\nEnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.\n\n Don’t just take our word for it! Hear what our people are saying:\n“I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist\n\n“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations\n\nWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.","datePosted":"2026-10-06T19:21:03.711Z","dateModified":"2026-10-06T19:21:03.711Z","hiringOrganization":{"@type":"Organization","name":"Enablecomp","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Myrtle Point","addressRegion":"OR","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"fdda33b2297fa7fdb1d7ff08"},"url":"https://jobsearcher.com/jobs/fdda33b2297fa7fdb1d7ff08"}}