Coding & Billing Auditor
: Job Details :

Coding & Billing Auditor

THE BEST CAREERS. RIGHT HERE

@ BROOKLYNS LEADING HEALTHCARE SYSTEM.

MAIMONIDES: TOP TEN IN THE U.S. FOR CLINICAL OUTCOMES

Were Maimonides Health, Brooklyns largest healthcare system, serving over 250,000 patients each year through the systems 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and provide patient-centered care. The system is anchored by Maimonides Medical Center, one of the nations largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Childrens Hospital, Brooklyns only childrens hospital and only pediatric trauma center. Maimonides clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neurosciences Institute, Bone and Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.

Maimonides is currently seeking a Professional Coding and Billing Auditor to conduct regular audits of medical records and coding assignments to ensure compliance with current coding guidelines and regulatory requirements.

We require:

• Certification through AAPC (Certified Professional Coder - CPC) or AHIMA (Certified Coding Specialist - CCS) is required.
• Minimum of 5 years of experience in medical coding or auditing
• Knowledge: In-depth understanding of medical coding (ICD, CPT, HCPCS), billing, and healthcare reimbursement processes
• Knowledge of OBGYN, Emergency Department, Neurology, and Cardiology coding is a plus.
• Strong analytical, communication, and detail-oriented skills.

Key responsibilities:

• Perform regular audits of coding accuracy, verifying that ICD, CPT, and HCPCS codes are used appropriately and align with clinical documentation and regulatory guidelines.
• Conduct training sessions and provide ongoing education for coding and clinical teams on coding updates, best practices, and documentation improvement to reduce coding discrepancies.
• Document and communicate audit findings, coding errors, and areas for improvement, providing actionable feedback to coding staff to enhance coding accuracy and quality.
• Compliance Assurance: Ensure all coding practices comply with federal regulations, such as CMS and HIPAA, as well as with organizational policies, payer guidelines, and coding standards.

Salary $79,500. We offer comprehensive benefits including a 403(b) retirement plan. For immediate consideration, please email a resume to ...@maimo.org.

Maimonides Medical Center (MMC) is an equal opportunity employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard for race, creed (religion), color, sex, national origin, ethnicity, sexual orientation, gender identity, military or veteran status, age, disability, pregnancy, predisposing genetic characteristic, marital status or domestic violence victim status, citizenship status, or any other factor which cannot lawfully be used as a basis for an employment decision in accordance with applicable federal, state, and local laws. MMC is committed to following the requirements of the New York State Human Rights Law with regard to non-discrimination on the basis of prior criminal conviction and prior arrest.