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The Professional Coding & Audit Specialist I performs audits of provider documentation and coding of professional evaluation & management services. This position also provides education and training to providers and staff related to professional coding and documentation.
The job requires knowledge of current coding guidelines, regulatory requirements, and billing rules. Experience in auditing and coding for E/M services is essential.
The Professional Coding & Audit Specialist I performs audits of Centra Medical Group (CMG) provider documentation and coding of professional evaluation & management (E/M) services to include E/M, International Statistical Classification of Diseases and Related Health Problems, tenth version- Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT) codes and modifiers to determine accuracy based on current coding guidelines, regulatory requirements and billing rules related to coding. This position provides education and training to CMG providers and staff related to professional coding and documentation under the direction of the Manager Professional Coding & Audit and the Professional Coding and Audit Specialist.
This job posting was last updated on 12/10/2025