Medical Coding, Compliance Auditor
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Job Description
Medical coding auditor reviewing Nym’s AI-generated healthcare codes for accuracy and compliance. Auditing charts, reporting discrepancies, and improving autonomous coding for US healthcare providers.
Responsibilities:
- Review and audit medical charts coded by an autonomous coding engine against national coding guidelines and client-specific SOPs
- Use Nym’s proprietary coding and auditing software to ensure correct coding practices and compliance with industry standards
- Identify areas for improvement and provide recommendations for correction
- Assign ICD-10, CPT, HCPCS, and other relevant codes to diagnoses, procedures, and services
- Ensure coding and documentation practices align with HIPAA, Medicare, and Medicaid requirements
- Generate and present reports on audit findings, coding discrepancies, and compliance trends
- Provide actionable insights to improve processes and reduce coding errors
- Work with client stakeholders and internal Nym teams as the subject matter expert
- Participate in customer calls and explain autonomous coding capabilities
- Stay updated on coding systems, regulations, and industry standards
- Assist in monitoring industry trends for potential impacts on the Nym coding engine configuration
Requirements:
- At least 3+ years of outpatient coding and/or auditing experience
- A minimum of one certification is required and must be maintained: RHIA, RHIT, CCS, CCS-P, COC, CASCC, or CPC
- Experience with Surgical Specialty Organizations references is a plus but not required
- Experience with ACEP and Emergency Department Facility and Professional Fee coding is a plus
- Excellent analytical skills and attention to detail
- Ability to communicate complex information effectively
- Ability to maintain confidentiality and adhere to ethical standards
- Strong organizational skills
- Ability to work independently and as part of a team
- Living/working in the Eastern Time Zone is strongly preferred
Benefits:
- Competitive salary and performance-based bonus
- Comprehensive health, dental, and vision insurance
- Unlimited paid time off (PTO)
- Opportunities for career growth and professional development
- Flexible work environment
- Monthly meal budget
- Home office stipend
- Utilities reimbursement
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