Medical Coding & Billing Auditor (CPC) - Physician Coding | Dover, DE

Medical Coding & Billing Auditor (CPC Required)

Location: Dover, DE
Employment Type: Permanent | Full-Time (Onsite)
⏰ Schedule: Day Shift
Salary Range: $53,000 – $81,000 annually

Position Overview

We are seeking an experienced Medical Coding & Billing Auditor to join our team in Dover, Delaware. This role is ideal for a Certified Professional Coder (CPC) with strong physician coding expertise who is passionate about ensuring documentation accuracy, maintaining compliance, and educating providers on coding best practices.

The auditor will review medical records, validate coding accuracy, and collaborate with providers and revenue cycle teams to improve documentation quality and coding compliance.

Key Responsibilities

• Audit provider medical records for accurate ICD-10 and CPT coding
• Verify clinical documentation supports billed diagnoses and procedures
• Prepare audit reports outlining findings and improvement opportunities
• Educate physicians, coders, and billing staff on coding standards and documentation requirements
• Collaborate with providers to improve documentation clarity and specificity
• Assist with training revenue cycle staff on coding guidelines
• Ensure compliance with federal regulations and coding policies
• Maintain audit logs and track performance metrics

Required Qualifications

• Certified Professional Coder (CPC) certification – required
• Minimum 5 years of professional coding experience
• Experience with physician/medical office coding
• Strong knowledge of ICD-10 and CPT coding guidelines
• Experience reviewing clinical documentation for coding accuracy
• Associate degree in a related field

Preferred Qualifications

• Prior coding audit experience
• Experience in a multi-specialty physician group practice
• Bachelor’s degree in a related field
• Experience providing documentation feedback directly to physicians

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.