Physician Auditor needed with Experience Coding in Children’s Hospital Setting (Part-Time)

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

Health Information Partners (HIP) is seeking a part-time Physician Auditor. Candidates should demonstrate strong expertise in coding a wide range of physician accounts in a children’s hospital setting, including NICU, Orthopedics, and Medical-Surgical services.

Responsible for the accurate quality assurance review of coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery.
The auditor will assist HIP clients with provider documentation improvement, reviews for billing and other regulatory compliance with third party payers, revenue cycle management, as well as reimbursement methodology advisory support.

3+ years recent Pro-fee Auditing for a children’s Hospital
General Pro-Fee coding experience required, multi-specialty preferred (NICU, orthopedics, medical-surgical, etc.)
Subject Matter expert in CPT, ICD-10-CM, and HCPCS Coding
Epic software experience is required. 2 years (Preferred)
Current credential of CPC/CCS-P or related coding professional credential required
Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required
Additional credentials such as RHIA/RHIT, CCS, CPMA, or specialty designations desirable
Physician financial reimbursement and revenue cycle understanding is preferred
Experience presenting to physicians and other healthcare providers required
Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients
Superior communication skills, both oral and written
Excellent project management skills
Traits that include detail-oriented, flexible, and responsive

Successfully pass a pre-employment coding proficiency test
Successfully pass a criminal record/OIG/drug screening

Competitive hourly rate or salary (discussed during the hiring process).
Opportunities for professional growth and development.
A supportive remote working environment with access to resources and guidance.
Flexible scheduling to suit your individual needs.

About Health Information Partners: At HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees.

How to Apply: If you’re ready to bring your expertise to a dynamic and supportive team, we’d love to hear from you! Submit your application and updated resume to [email protected] today.

1. What credentials do you have?
2. What auditing platforms or encoders have you worked with (e.g., 3M, Optum, RevCycle, Epic audit tools)?
3. How comfortable are you using Epic or other EHR systems for audit review and documentation?
4. Walk me through your approach to auditing a provider’s note. What’s your process from start to finish?
5. How do you handle gray areas in coding — when documentation could support more than one code level?
6. What are the most common issues you’ve identified in professional fee audits?
7. Have you performed focused or provider-specific education based on audit trends? Tell me about that process.
8. How do you track and report audit findings — manually, or using automated dashboards or reports?
9. Are you available to start immediately, or do you require a notice period?
10. Do you have experience working independently in a remote environment with minimal supervision?
11. What is your hourly salary expectation for this position?

Work Location: Remote

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