Certified Professional Coder (CPC) � Coding Auditor
Certified Professional Coder (CPC) � Coding Auditor
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1 Vacancy
Job Description
About Us:
Privia Medical Group NTX is a multi-specialty medical group committed to delivering high-quality patient-centered care. We are seeking an experienced and detail-oriented Certified Professional Coder (CPC) to join our compliance and coding team. This position plays a key role in ensuring our documentation and coding practices meet CMS (Centers for Medicare & Medicaid Services) guidelines and regulatory requirements.
Position Summary:
The Coding Auditor will be responsible for conducting audits of medical documentation to ensure accurate coding in compliance with CMS and payer-specific guidelines. The role also provides ongoing coding education and support to physicians and clinical staff serving as a resource for accurate and compliant coding practices.
Key Responsibilities:
- Perform regular and targeted audits of outpatient and/or inpatient medical records to assess coding accuracy documentation quality and compliance with CMS guidelines.
- Review provider documentation for proper assignment of CPT ICD-10-CM and HCPCS codes.
- Identify and report coding trends errors and risk areas with actionable feedback.
- Provide coding guidance and clarification to physicians and clinical staff.
- Deliver education and training to providers based on audit findings regulatory changes or coding updates.
- Stay up to date on CMS regulations payer rules and coding/billing best practices.
- Collaborate with billing compliance and clinical departments to resolve coding-related issues.
- Assist with internal and external audits as needed.
- Other duties as assigned
Qualifications:
Certification: CPC (Certified Professional Coder) required and current issued by AAPC.
Experience: Minimum of 23 years of professional coding experience in a medical group or healthcare system; prior audit experience preferred.
Knowledge:
- Thorough understanding of CPT ICD-10-CM HCPCS coding systems
- Strong working knowledge of CMS guidelines coding compliance and medical terminology
- Familiarity with EMR/EHR systems NextGen and Athena
Skills:
- Excellent analytical and critical-thinking skills
- Strong verbal and written communication skills for education and documentation
- Ability to work independently and as part of a collaborative team
- High attention to detail and organizational skills
Preferred Qualifications:
- Experience conducting provider education or coding training sessions
- Prior auditing experience using established audit tools or proprietary templates
- Familiarity with Risk Adjustment/HCC coding (if applicable to practice)
- NON Remote must live in the area and/or willing to relocate to the Fort Worth area
What We Offer:
- Competitive salary based on experience
- Health dental and vision insurance
- 401(k) with employer match
- Paid time off and holidays
- Continuing education support and CPC recertification assistance
- A supportive collaborative work environment
To Apply:
Please submit your resume and a brief cover letter outlining your relevant experience and interest in the position to: Email - or visit us online
Privia Medical Group NTX is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. This is not a REMOTE opportunity it will be in office in West Fort Worth.
Required Experience:
Unclear Seniority
Employment Type
Full Time
