Certified Professional Coder (CPC) - Coding Auditor

Job Description

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 2–3 years of professional coding experience in a medical group or healthcare system; prior audit experience preferred.

Knowledge :

Skills :

Preferred Qualifications :

What We Offer :

To Apply :

Please submit your resume and a brief cover letter outlining your relevant experience and interest in the position to : Email - shelley.gilbert@priviahealth.com or visit us online www.txhealthcare.com

Privia Medical Group, NTX is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.