Medical Coding & Compliance Auditor
Core
Review and audit medical charts coded by an autonomous AI engine against national guidelines and client SOPs to ensure compliance and accuracy.
Role type
Senior Medical Coding Auditor (IC)
Builds
AI-powered medical coding engine for emergency medicine, radiology, outpatient surgery, outpatient visits, inpatient services, and urgent care
Domain
Healthcare administration / Revenue cycle management
Deliverable
production ML models
Required skills
Medical coding (ICD-10, CPT, HCPCS), Auditing, Regulatory compliance (HIPAA, Medicare, Medicaid), Medical terminology, Data analysis, Reporting
Preferred skills
Surgical Specialty Organizations (AAOS, ACG, ACOG) experience, ACEP/Emergency Department coding experience
Technologies
Nym proprietary coding and auditing software
Responsibilities
Audit medical charts for coding accuracy and regulatory compliance; Assign ICD-10, CPT, and HCPCS codes; Generate reports on audit findings and compliance trends; Collaborate with stakeholders as a subject matter expert; Monitor industry trends to improve the coding engine configuration
Seniority
Mid-Senior, hands-on IC
