Health Business Solutions LLC

Clinical Experience Preferred 

Now Hiring a Coding and Denial Auditor! 

We’re seeking an experienced Coding Auditor / Denial Auditor to support hospital revenue cycle auditing, denial prevention, and reimbursement accuracy. This role focuses on inpatient and outpatient hospital claims. Physician billing experience a plus. Clinical experience strongly preferred to support medical necessity and documentation review. 

Key Responsibilities 

• Audit hospital inpatient and outpatient coding 

• Review claim denials, underpayments, and appeals 

• Identify coding, documentation, and medical necessity issues 

• Apply ICD‑10‑CM/PCS, CPT, HCPCS and payer rules 

• Support revenue integrity and denial reduction efforts 

• Provide audit feedback and education to coding and revenue cycle teams 

Qualifications 

• Active credential: CCS, CPC, CIC, or CCS‑P 

• 2+ years hospital coding or denial auditing experience 

• revenue cycle and payer guideline knowledge 

• Experience with CMS and commercial payers 

• Clinical background (RN or other) preferred