Job Description
Job Description
Job Description
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 Youll 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 Were 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.
Job Tags
Contract work, For contractors, Remote work, Flexible hours,