The Auditor, Billing & Coding reviews clinical documentation and coding accuracy, conducts audits, provides coding education, and ensures compliance for primary care practices.
Summary Generated by Built In
The Auditor, Billing & Coding is a certified coding professional responsible for reviewing clinical documentation and coding accuracy across independent primary care practices. This role provides chart audits, coding education, and compliance support to ensure practices document and bill correctly, reducing audit risk and maximizing appropriate reimbursement. The focus is consultative—empowering practices through feedback, tools, and ongoing guidance.
Candidates should be comfortable working remotely/work from home anywhere within the US.
Primary Duties:
- Conduct retrospective chart audits for coding accuracy, modifier usage, and documentation sufficiency.
- Review patterns related to E/M coding, preventive services, incident-to coding and HCC risk adjustment.
- Provide direct feedback and education to providers and practice staff on coding and documentation best practices.
- Coordinate with Aledade contracted coding vendor for seamless integration and issue resolution.
- Identify systemic gaps in documentation or coding and work with practice leadership to address.
- Stay current with Medicare and commercial payer policies and ensure practice-level compliance.
- Assist in developing educational materials, playbooks, and tip guides for common coding issues.
- Other duties as assigned
Minimum Qualifications:
- High school diploma or equivalent
- Minimum of 8 years of medical billing and coding experience in an ambulatory care or outpatient office setting, preferably primary care.
- AAPC Certified Professional Coder (CPC) certification OR Certified Coding Specialist-Professional (CCS-P) certification through American Health Information Management Association (AHIMA).
Preferred Qualifications:
- Prolonged periods of sitting at a desk and working on a computer.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
.png)
