CPC Certified Claims Auditor

A company is looking for a Claims Solution Professional Auditor. Key Responsibilities Audit and monitor professional documentation and coding practices of healthcare providers and staff Validate charges entered by clinicians and assist with coding setup and training for new providers Perform audits and provide analysis of claims denials and payment issues to improve operational performance Required Qualifications CPC Coding certification through AAPC or equivalent (e.g., CCS-P or DIP) Professional coding experience or medical billing experience CPMA auditor certification or equivalent is preferred Advanced coding knowledge (e.g., CCI edits, appeal management) is preferred Training in continuous improvement theory and application is preferred

Created: 2026-03-05