Medical Coding Auditor

Job Description

Job Description

About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.

Hybrid Role after the first 90 days and upon meeting performance metrics. Hybrid schedule will consist of at least 3 days in the office.

Job Responsibilities:

• Audit Medical Records: Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes.
• Identify and Correct Errors: Detect discrepancies and coding errors, provide feedback, and collaborate with coding staff to correct inaccuracies in medical documentation.
• Report Generation: Prepare detailed audit reports that highlight findings, trends, and areas for improvement
• Ensure coding compliance with AMA, CMS guidelines, and state/federal regulations.
• Work closely with providers to clarify documentation and improve coding accuracy.
• Maintain up-to-date knowledge of medical coding guidelines, regulatory changes, and industry best practices.
• Meet coding productivity and quality standards as required by Optima Medical.
• Perform other related duties as assigned.

Job Qualifications:

• At least three (2) years of direct experience in coding/auditing applicable services, and medical chart review. (physician practice or healthcare facility).
• Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding (OAC) required (AAPC or AHIMA certification).
• Highly detail oriented, thorough, and responsible.
• Excellent attention to detail and accuracy.
• Understanding of medical terminology, anatomy, and physiology.
• Strong understanding of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Experience with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel).
• Strong analytical, problem-solving, and communication skills.
• Ability to work independently in a fast-paced production environment while maintaining high accuracy.
• Must live in Arizona.

Why Join Our Team?

• Growth opportunities and leadership mentoring.
• Supportive and positive work environment.
• Fun team culture (lunches, events, holiday parties).
• Competitive benefits package (medical, vision, dental, 401k, paid holidays
• We cover your membership through AAPC!