Senior ER Coding Auditor

Location:

Dallas, Texas, United States Company:
Health Care Service Corporation Posted:

Job Summary (Par time-Potential for Fulltime)
The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.

Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes

Validate E/M level selection for emergency department visits

Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA)
Identify under coding, over coding, and documentation deficiencies

Prepare detailed audit reports with corrective recommendations

Provide education and feedback to coders and providers

Train and mentor offshore coding teams on ER coding guidelines and audit findings

Conduct regular quality review sessions and calibration meetings with offshore staff

Develop and update training materials, Review SOPs, and coding guidelines

Monitor offshore team performance and provide ongoing coaching

Track audit findings and identify trends to improve coding quality

Assist in denial management and revenue cycle improvement

Stay current with coding updates and industry changes

Required Certifications (MANDATORY)
One or more of the following:

CPC / CPC-A (Certified Professional Coder)
CCS (Certified Coding Specialist)
COC (Certified Outpatient Coder)
CPMA (Certified Professional Medical Auditor) – Highly

Preferred Qualifications Minimum  3–5 years of ER (Emergency Room) coding experience for facility and professional billing required

At least 1–2 years of auditing experience

Prior experience training or managing offshore teams preferred

Strong knowledge of ER-specific coding and E/M guidelines

Experience with EHR/EMR systems