Certified Medical Coder / Clinical Chart Auditor (AAPC certified) at Elite DNA Behavioral Health

Fort Myers, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

01 May, 26

Salary

0.0

Posted On

31 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Attention To Detail, Analytical Skills, CPT Coding, ICD-10 Coding, Medical Necessity, Documentation Compliance, Feedback, Education, Behavioral Health, EHR Systems, Compliance, Quality Assurance, Problem Solving, Confidentiality, Collaboration, Communication

Industry

Mental Health Care

Description

Description Position Summary Elite DNA Behavioral Health is seeking a detail-oriented Certified Medical Coder / Clinical Chart Auditor (AAPC certified) to support our internal compliance and quality assurance program. This role focuses on chart auditing, documentation review, and provider education, with an emphasis on CMS, Florida Medicaid, and behavioral health documentation standards. This position goes beyond CPT coding alone. The Auditor will review each element of the medical record—including assessments, treatment plans, progress notes, and billing documentation—to ensure services meet regulatory, payor, and internal compliance requirements. The Auditor will also provide constructive feedback and education to providers to improve documentation accuracy and reduce audit risk. This is an excellent opportunity for early-career coders (0–3 years experience) looking to build expertise in healthcare compliance and auditing. Essential Duties and Responsibilities Conduct routine and targeted chart audits for therapy, psychiatry, and behavioral health services Review CPT, HCPCS, and ICD-10 coding accuracy Evaluate documentation compliance with: CMS requirements Florida Medicaid policies and handbooks Payor-specific standards (Optum, Sunshine, Molina, etc.) Internal clinical documentation policies Validate medical necessity, time-based coding, and treatment plan requirements Assess completeness of: Intakes/assessments Treatment plans Progress notes Signatures and credentials Billing support documentation Identify trends, risks, and recurring documentation issues Prepare clear, objective audit findings and reports Provide education and feedback to providers and staff on documentation improvements Participate in compliance initiatives, internal training, and corrective action plans Assist with preparation for external audits and payor requests Maintain strict confidentiality of PHI in accordance with HIPAA Qualifications Required Active AAPC certification (CPC, CPMA, COC, or similar) 0–3 years of coding, auditing, or healthcare documentation experience Strong attention to detail and analytical skills Working knowledge of CPT, ICD-10-CM, and medical necessity principles Ability to interpret regulatory and payor documentation standards Strong written and verbal communication skills Ability to provide constructive, professional feedback to clinicians Preferred Experience with behavioral health or outpatient mental health services Experience with Athena or other EHR systems Knowledge of Medicaid and managed care documentation requirements CPMA (Certified Professional Medical Auditor) or interest in obtaining Experience in compliance, quality assurance, or internal audits Skills & Competencies Detail-oriented and highly organized Strong critical thinking and problem-solving skills Comfortable reviewing large volumes of documentation Ability to balance accuracy with productivity Collaborative and educational mindset Professional discretion and confidentiality

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Responsibilities

The Certified Medical Coder / Clinical Chart Auditor will conduct routine and targeted chart audits, focusing on documentation review and provider education. The role emphasizes compliance with CMS, Florida Medicaid, and behavioral health documentation standards.