NorthBay Health is seeking a Professional Fee Coding Auditor / Claims Edit Specialist to audit professional fee coding across multiple service lines, resolve pre-billing coding edits, and review post-billing coding-related denials.
This role supports coding accuracy, documentation integrity, compliance, and quality improvement across ambulatory/hospitalist, surgery, and emergency medicine professional fee coding workflows. The position also provides coder feedback, physician education, and collaboration with revenue integrity and leadership teams to improve coding performance and reduce denials.
Requirements & Qualifications
- High school diploma preferred; associate's or bachelor's degree preferred
- One of the following credentials required: CPC, CCS-P, or CPMA
- CRC preferred in addition to one of the required certifications
- Minimum 5 years of professional fee coding experience across multiple specialties
- Minimum 3 years of auditing and edit-resolution experience
- Strong knowledge of anatomy, physiology, medical terminology, disease processes, and official coding guidelines
- Proficiency with EHR systems, encoders (such as 3M), and Microsoft Office
- Strong analytical, communication, and interpersonal skills
- Ability to work independently with high accuracy and manage shifting priorities
- Must be able to maintain confidentiality and HIPAA compliance
Benefits & Perks
- Comprehensive medical, dental, and vision insurance
- Life, disability, and long-term care coverage
- Paid time off including vacation, sick leave, holidays, and bereavement
- 403(b) retirement plan with employer match
- Education reimbursement for eligible roles
- Professional development and training programs
- Employee Assistance Program
- Wellness programs and recognition programs
- Market-based compensation review and increases subject to approval and organizational performance
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago