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 Apply tot his job Apply To this Job