Certified Medical Coder & Documentation Auditor (Primary Care, Psych & Wound Care)
- *Overview**
Bliss Specialty Healthcare Group is a rapidly growing multi-specialty practice providing Primary Care, Psychiatry, and Wound Care services across ALFs, SNFs, and home settings.
We are seeking an experienced Certified Medical Coder & Documentation Auditor to join our team in a revenue optimization role (not just coding).
This position is designed for someone who can go beyond assigning codes — you will play a key role in maximizing compliant reimbursement, improving documentation, and reducing denials across the organization.
- You will work closely with providers and scribes to ensure every chart supports the highest appropriate level of billing while maintaining strict compliance standards.
- *Key Responsibilities:
- Perform chart scrubbing and documentation review prior to claim submission
- Ensure documentation supports all billed CPT, HCPCS, and ICD-10 codes
- Identify opportunities for compliant E/M level optimization and add-on capture
- Provide real-time feedback to providers and scribes to improve documentation
- Support coding across:
- Primary Care
- Psychiatry
- Wound Care
- Review and apply:
- Modifiers (25, 59, XU)
- NCCI edits and bundling rules
- Medical necessity requirements
- Reduce claim denials, rejections, and downcoding
- Assist in building standardized documentation templates and workflows
- Train providers and staff on coding and documentation best practices
- *What Makes This Role Different:
- This is a revenue optimization role (not just coding)
- You will have direct provider collaboration to improve documentation in real time
- Your work will have a measurable impact on revenue and compliance
- You will help build and standardize coding workflows across a growing organization
- *Performance-Based Bonus Structure:**
- Bonus opportunities tied to
- Increased compliant revenue capture
- Reduction in denials and rejections
- Improvement in E/M level distribution
- Successful implementation of documentation workflows
- *Required Qualifications:
- CPC, CCS, or equivalent certification
- Minimum 3+ years of coding and/or auditing experience
- Experience in:
- Primary Care (E/M coding)
- Psychiatry coding
- Wound care / procedural coding
- Strong knowledge of:
- CPT / ICD-10 / HCPCS
- E/M leveling
- NCCI edits
- Modifier usage
- Experience with documentation auditing and chart scrubbing
- Ability to work directly with providers and give actionable feedback
- *Preferred Qualifications:
- Experience with ALF, SNF, or home visit coding (99348–99350)
- Experience with wound procedures (e.g., 97597, 11042)
- Familiarity with eClinicalWorks (ECW)
- Experience in denial management and revenue cycle optimization
Pay: $30.00 - $36.00 per hour
Work Location: Remote
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