ED Billing Auditor

About this role

We Conduct audits of ED billing and coding for accuracy, completeness, and compliance with CPT, ICD-10, HCPCS, and payer-specific guidelines. Review provider documentation to ensure it supports billed services and appropriate E/M levels. Identify patterns of undercoding, upcoding, bundling errors, or medical necessity issues. Collaborate with coders, billers, and providers to correct errors and provide education/training as needed. Prepare detailed audit reports with findings, trends, and actio…