Physician Coder/Auditor in Kenosha, Wisconsin at Froedtert South, Inc.

Physician Coding Auditor

As a Physician Coding Auditor, you'll play an important role in ensuring accurate medical coding, supporting documentation compliance, and maintaining the integrity of provider billing. You'll review clinical documentation, conduct audits, and work with physicians and team members to help ensure coding practices align with applicable guidelines and regulations.

This is a great opportunity for someone with coding expertise who enjoys reviewing details, solving problems, communicating findings, and helping healthcare teams maintain accurate and compliant billing practices.

What You'll Do

• Conduct internal audits and reviews of provider documentation for inpatient and outpatient coding and billing.
• Review clinical documentation to ensure CPT and ICD-10 codes are accurately assigned.
• Communicate audit findings to physicians and appropriate management staff through written reports and verbal discussions.
• Monitor provider compliance with the auditing program and report noncompliance to the appropriate individuals.
• Review insurance guidelines to support accurate coding and documentation compliance.
• Serve as a resource for Physicians Billing and clinic staff regarding coding, documentation, and compliance questions.
• Collaborate with physicians to clarify diagnoses, procedures, and supporting documentation.
• Interpret applicable coding guidelines, policies, and regulations to support compliant billing practices.
• Identify and consult appropriate resources and management staff when questions or concerns arise.
• Perform other related duties as assigned.

What We're Looking For

• High school diploma or GED.
• 1–3 years of coding experience preferred.
• Current certification as one of the following:
  • Certified Professional Coder (CPC)
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist–Physician (CCS-P)
• Knowledge of CPT and ICD-10 coding systems.
• Ability to review and interpret clinical documentation and accurately evaluate coding assignments.

Pay & Benefits

$23.00–$34.50 per hour. (Pay is based on experience.)

Benefits:

• Medical, dental, and vision insurance
• 403(b) retirement plan with company match
• Tuition reimbursement
• Employee discount program
• Competitive paid time off (PTO)

Why Froedtert South?

Join a team where your expertise makes a difference. As a Physician Coding Auditor, you'll help promote accurate coding, support compliance, and strengthen the billing process while working collaboratively with physicians and healthcare staff to support quality patient care.