Contract | Internal Auditor – Medical Billing/Coding

D&g Medical Associates Pllc

Contract | Internal Auditor – Medical Billing/Coding

Meridian, ID
Full Time
Paid
  • Responsibilities

    Benefits:

    Company parties

    Competitive salary

    Flexible schedule

    Contract | Internal Auditor – Medical Billing/Coding (SNF Part B, CCM, RPM, E/M Audits)

    Company: Elevate Healthcare

    Job Type: Independent Contractor (1099)

    Pay: Competitive, based on experience

    About Us

    We are a specialized medical billing group focused on Skilled Nursing Facility (SNF) billing under Medicare Part B, Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and professional E/M services. Our mission is to ensure accurate reimbursement and compliance through exceptional billing, coding, and audit practices.

    Position Overview

    We are hiring a highly experienced Internal Auditor to independently conduct detailed billing and documentation audits for SNFs, CCM, RPM, and Evaluation & Management (E/M) services. This role is remote and suited for a seasoned, self-directed expert who can not only uncover compliance issues but also effectively educate providers on proper documentation and coding.

    What You’ll Do

    Perform internal audits for services billed under SNF Part B, CCM, RPM, and professional services

    Validate E/M level selection by comparing provider documentation to Medical Decision Making (MDM) criteria

    Identify overcoding or undercoding trends and provide recommendations for correction

    Ensure CPT, HCPCS, and ICD-10 coding accuracy including appropriate modifiers and place of service

    Create thorough audit reports with clear summaries, findings, and corrective actions

    Lead provider education sessions to review audit results and improve documentation practices

    Develop and manage your own audit tools, reporting templates, and tracking systems

    Make proactive recommendations for process improvements and compliance enhancements

    What We’re Looking For

    5+ years of experience in medical auditing and coding, with focus on SNFs, CCM, RPM, and E/M services

    Advanced knowledge of E/M MDM guidelines (2021+ standards) and Medicare billing rules

    CPMA, CPC, CRC, or similar credential from AAPC or AHIMA required

    Comfortable working independently in a contractor role with minimal oversight

    Strong attention to detail and ability to interpret and apply CMS guidelines accurately

    Skilled in Excel and audit tools, and experienced in working within various EHRs

    Excellent written and verbal communication skills, especially in provider education

    Why Join Us?

    100% remote and flexible schedule

    1099 contractor model

    Work directly with leadership and providers

    High-impact role focused on quality, integrity, and provider support

    Opportunity to shape internal compliance strategy

    To Apply

    Please submit your resume and a brief cover letter summarizing your experience in: -SNF Part B billing audits

    • CCM/RPM compliance -E/M leveling and MDM validation -Educating providers on documentation improvement

    You may also include redacted examples of prior audit summaries or provider feedback you've facilitated.