Job Description

Job Description

Job Description

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

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.

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