Coding Auditor

Job Title: Coding Auditor

Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM)

Travel: 0-10%

Qualifications:

• High School Diploma or General Education Degree (GED); Completed certification in Certified Professional Coding through an accredited agency such as AAPC, AHIMA, or NAMAS.
• Minimum of 1 year experience with E&M coding/auditing in any medical specialty.
• Experience in professional-fee billing is desired.

Job Summary:

Discover a rewarding career at Arcare. Under the direction of the Coding Manager, and following a pre-determined or assigned audit schedule, the auditor will provide an evidence-based audit of select primary and specialty care E&M and procedural charges to ensure correct coding, legal compliance, and complete charge capture. Using CPT and IC-10, HCPCS II, provider documentation and other approved resources, the auditor will evaluate the proper assignment of procedure, modifier, and diagnosis codes to professional services in order to validate accuracy and compliance.

Key Responsibilities:

Collate, transfer, and analyze all auditing results to capture and illustrate risk issues, revenue leakage and educational opportunities.

• Provide physician feedback, initial and ongoing education and training, and technical support regarding proper clinical documentation guidelines, service selection, charge capture and timely submission, healthcare data accuracy and coding principles.

• Collaborate with the Physician Services Coding Supervisor, Physician Services Coding Specialists, Physician Billing Managers, WDPC Administration and Information Systems to identify and develop new processes, software development and provider training opportunities based on the audit results.

• Based on feedback from Physician Services Coding Specialists, physician audit results, and accuracy expectations as determined to maintain correct coding standards, coordinate the educational opportunities for the assigned direct-care providers regarding the medical and legal aspects of professional coding and documentation requirements.

• Assist with developing and implementing recommendations for changes in policies and procedures relevant to correct and compliant coding.

• Serve as a resource for physicians, billing and coding staff and administrative staff relative to technical guidance on professional coding issues.

• Stay current with all coding changes and updates through regular research and verification.

Skills & Attributes

• Strong analytical and organizational skills
• Knowledge of coding systems and standards
• Attention to detail and a commitment to accuracy

About Arcare

Founded on the belief that healthcare is a right, not a privilege, Arcare exists to make comprehensive, high-quality care accessible to everyone, especially in rural and underserved communities. What began in the rural Arkansas delta has grown into a multi-state healthcare network, but our mission remains the same: Health for All. That mission drives everything we do, from accepting every patient, regardless of insurance status or ability to pay, to expanding access to care and improving health outcomes in the communities we serve.

We believe strong communities start with strong teams. We foster a supportive, collaborative environment where employees are valued, encouraged to grow, and empowered to make a meaningful impact through their work. We invest in our people by supporting professional development, encouraging leadership growth, and providing opportunities to build long-term careers within the organization. A healthy work-life balance and a predictable schedule are part of our workplace culture.

Whether caring for patients in the clinic, supporting operations behind the scenes, or serving communities through outreach and education, our teams are united by a shared purpose: delivering compassionate, accessible care that improves lives.

Arcare offers competitive pay and a strong company-paid benefits package for full-time employees, including:

• Work-life balance through a predictable schedule. Schedules are established early and rarely change, so employees enjoy a steady workweek rhythm.
• No routine nights or weekends for most positions. (Some clinical roles may have limited weekend coverage based on clinic needs.)
• Company-paid employee medical, dental, and vision insurance.
• Free care at any Arcare clinic for employees and covered family members enrolled in the Arcare health plan, starting the first day of your employment.
• Company-paid life insurance and long-term disability coverage.
• 96 hours of paid vacation time for full-time employees who work 40 hours per week. Accrual begins on the first day of employment.
• 96 hours of paid sick time for full-time employees who work 40 hours per week. Accrual begins on the first day of employment.
• Paid holidays, including one floating holiday and one birthday holiday to be used during the month of the employee's birthday.
• 401(k) retirement plan with company matching up to 200% of the employee's contribution of up to 4% after one year of employment.
• Company-paid renewal of applicable licenses and certifications, subject to supervisor and HR approval based on the employee's position and job duties.
• Possible Continuing Education reimbursement for current employees, subject to supervisor and HR approval based on the employee's position and job duties.

Loan Repayment Opportunities

Many Arcare locations serve medically underserved communities. Eligible clinical team members may qualify for federal loan repayment programs through HRSA, including the National Health Service Corps Loan Repayment Program and the Nurse Corps Loan Repayment Program. Eligibility and award approval are determined by HRSA based on role, location, discipline, and program requirements.

Application Assistance:

If you need assistance with the application process, please email humanresources@arcare.net.

Equal Opportunity Employer:

Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.