Coding Auditor jobs in United States
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AIDS Healthcare Foundation · 3 weeks ago

Coding Auditor

AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. The Coding Auditor contributes by ensuring regulatory compliance and revenue integrity through comprehensive reviews of medical documentation and coding, while also managing AI workflows to validate coding recommendations.

CommunitiesHealth CareNon Profit
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Conducting comprehensive reviews of medical documentation, coding, and billing to ensure regulatory compliance and revenue integrity
Managing Coding Artificial Intelligence (AI) workflows
Reviewing claims held by the AI
Validating coding recommendations
Ensuring appropriate resolution
Providing clear feedback and education to improve documentation accuracy, coding quality, and system efficiency
Collaborating with providers, coders, and billing teams to reduce denials, improve revenue integrity, and strengthen consistent documentation and coding practices

Qualification

ICD-10 codingCPT codingHCPCS codingCoding AI managementRegulatory complianceRevenue integrityDocumentation reviewCollaboration skills

Required

Conduct comprehensive reviews of medical documentation, coding, and billing to ensure regulatory compliance and revenue integrity
Manage Coding Artificial Intelligence (AI) workflows
Review claims held by the AI
Validate coding recommendations
Ensure appropriate resolution of claims
Provide clear feedback and education to improve documentation accuracy, coding quality, and system efficiency
Ensure proper ICD-10, CPT, and HCPCS assignment
Confirm regulatory compliance
Support clean-claim submission by validating AI-generated coding recommendations
Collaborate with providers, coders, and billing teams to reduce denials
Improve revenue integrity
Strengthen consistent documentation and coding practices across the organization

Benefits

Comprehensive benefits to help our employees do and be their very best
Intended to enhance employee physical, financial, spiritual and professional health

Company

AIDS Healthcare Foundation

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AIDS Healthcare Foundation is a nonprofit organization that provides medicines and advocacy for patients.

H1B Sponsorship

AIDS Healthcare Foundation has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (8)
2024 (9)
2023 (3)
2022 (5)
2021 (8)
2020 (2)

Funding

Current Stage
Late Stage

Leadership Team

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Lyle Honig Mojica
Chief Financial Officer
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Company data provided by crunchbase