HIM Physician Auditor - Full Time

5 years of experience in physician coding required

5 years auditing and/or clinical documentation improvement, Pro Fee setting required

N/A

Competitive Wages & Family Benefits:

Competitive wages

Parental leave (4 weeks paid)

Housing programs

Childcare reimbursement

Comprehensive Health Benefits:

The Physician Auditor is responsible for conducting detailed audits of physician documentation, coding, and billing practices to ensure compliance with regulatory standards, payer guidelines, and organizational policies. This role plays a critical part in maintaining the integrity of clinical documentation and revenue cycle processes, identifying areas for improvement, and supporting education initiatives for providers.

Audit physician documentation and coding for multi-specialty providers to ensure accuracy, completeness, and compliance with ICD-10-CM, CPT, HCPCS, E/M leveling, payer guidelines, and regulatory standards.

Review medical records to validate billed services, medical necessity, and identify discrepancies, errors, or potential fraud.

Prepare detailed audit reports with findings, recommendations, and corrective action plans.

Provide education and feedback to physicians, clinical staff, and team members on documentation improvement, coding accuracy, and compliance best practices.