Role description
Coding Auditor
CombineHealthJD: Coding Auditor (Contract)
About CombineHealth
CombineHealth builds AI employees for the healthcare revenue cycle. Amy, our AI medical coder, is live at emergency medicine groups, hospitals and RCM companies across CPT, ICD-10, HCPCS and modifiers. Every new client goes through a configuration phase where we tune Amy to their documentation, payers and coding preferences. You'll make that phase fast and accurate.
Role:
Coding Auditor · Contract, 20 to 25 hours/week · Remote (US) ·
The role
You are the coding expert in the loop between our clients and our AI team. When a client reviews Amy's output and sends feedback, you decide who's right, why, and what should change. You also mine denials for patterns and turn them into coding strategy fixes so the same denial doesn't come back.
What you'll do
Client feedback analysis:
review charts where the client disagrees with Amy's codes, determine the correct coding with guideline references, and separate true AI errors from client preference or documentation issues.
Configuration input:
translate your findings into clear, specific change requests for our AI team, then verify the fixes on the next batch.
Audits:
run sample audits during and after client onboarding; report accuracy as the data shows it, good or bad.
Denial analysis:
review denials by payer, code and root cause; flag repeat patterns tied to coding and recommend changes to coding logic or modifier use.
Client calls:
occasionally walk a client's coding manager through a disputed chart or audit finding.
What you bring
- CPC required; CEDC, CPMA or CCS-P a plus
- 5+ years of professional fee coding, including 2+ years auditing or QA
- Strong emergency department coding: E/M levels, critical care, procedures, observation, modifiers
- Hands-on denial work: you can read a remit, find the root cause and tie it back to coding
- Clear written reasoning: every call you make comes with the guideline behind it
- Curiosity about AI: you don't need to code, but you should enjoy figuring out why a system got something wrong
- Reliable availability of 4 to 5 hours on US business days
Nice to have
- Experience with autonomous coding, CAC or AI coding tools, as a user or reviewer
- Coding experience beyond ED: anesthesia, radiology, internal medicine
- Background at an RCM or billing company serving multiple clients
- Coder or provider education experience
Why this role is different
You won't work a production queue. Your calls shape how an AI codes thousands of charts a day, and your denial findings stop revenue leaks at the source.
Engagement:
freelance contract, 20 to 25 hours/week, remote (US). A signed BAA or HIPAA confidentiality agreement is required.
How to apply
Send your CV and other details by filling the form:
https://forms.gle/gCsvnCzbZuLoWks7A