Quality Analyst | E&M Dermatology | WFH | Medical Coding

Day Shift | WORK FROM HOME

5 days working

Experience: 3- 5 Years (Relevant)

We are looking for an experienced Medical Coder with expertise in Dermatology coding E/M to to join our team.

Key Responsibilities

• Audit dermatology charts, including E/M, biopsies, excisions, destruction, Mohs, and cryotherapy.
• Validate documentation for medical necessity, modifier usage (-25, -59/-XS/-XU, -51), and pathology correlation.
• Apply applicable CMS, NCCI, and payer LCD/NCD guidelines.
• Prepare documentation improvement feedback.
• Support provider education based on audit findings.

Requirements

• 3-4 years of dermatology-specific coding/auditing experience.
• Active CPC, CPMA, CCS, or CDEO certification.
• Strong knowledge of dermatology CPT coding.
• Working knowledge of 2023 E/M MDM guidelines and modifier application.
• Strong written communication skills for audit documentation.
• Prior audit experience is preferred, even if auditing is not the candidate's primary current role.

Preferred

• Multi-provider/multi-site audit experience.
• CDI exposure.
• Experience with EMA, Athena, or Epic.