ALTEVA

Auditor

• Conduct routine E/M coding audits across assigned specialties, providers, and client accounts
• Review clinical documentation and coded encounters for accuracy, documentation alignment, and compliance
• Evaluate patient status, place of service, level of service, modifiers, and add-on or prolonged services
• Apply AMA CPT E/M guidelines, CMS policies, ICD-10-CM, HCPCS, modifier rules, and payer-specific requirements
• Complete assigned audit volumes within established turnaround expectations and quality standards
• Perform assigned audits independently and escalate complex scenarios or conflicting guidance
• Participate in audit calibration activities
• Document audit findings, discrepancy identification, root causes, and corrective recommendations
• Prepare individual audit reports and summary submissions
• Maintain organized audit records and files
• Compile audit data for trend analysis and reporting
• Communicate findings to audited coders and providers
• Provide E/M coding and documentation feedback and assist with audit-driven education
• Re-audit previously identified findings to assess corrective action effectiveness
• Identify patterns and recurring documentation gaps and report observations
• Remain current with AMA CPT E/M, CMS, payer, and regulatory updates
• Flag potential compliance risks and emerging accuracy issues
• Support audit readiness activities and audit program documentation
• Maintain confidentiality and safeguard protected health information under HIPAA

Explore E/M Coding Auditor at ALTEVA. Review requirements and application details.

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E/M Coding Auditor