Medical Coding & Compliance Auditor

Description

Nym empowers healthcare providers with AI-based solutions that simplify healthcare administration and optimize revenue cycle management processes.

Our innovative technology understands clinical language and transforms medical records into clear, actionable information. By fully automating medical coding, Nym improves operational efficiency, optimizes financial performance, and reduces administrative burdens, ultimately enabling providers to focus more time on patient care. Our AI-powered coding engine supports six specialties : emergency medicine, radiology, outpatient surgery, outpatient visits, inpatient services, and urgent care.

At Nym, the future is bright. Our engine currently processes over six million charts annually in more than 300 healthcare facilities across the US, enabling clinical and administrative teams to spend more time on patient care. We are backed by top-tier VCs and growing rapidly, with offices in New York City and Tel Aviv.

Join us!

Role Overview

Are you an experienced medical coding auditor with a strong background in any of our six specialties? We're seeking a detail-oriented Medical Coding Auditor to join our team and play a key role in reviewing and analyzing medical records to ensure precise coding for level of service complex procedures, diagnoses, and other services.

In this role, you'll audit documentation for compliance with healthcare regulations and payer guidelines, helping to uphold the highest standards of accuracy and integrity. The ideal candidate brings deep knowledge of coding classifications, medical terminology, and regulatory requirements, along with a sharp eye for detail and a passion for driving improvements in the quality and accuracy of Nym's products.

Roles & Responsibilities

• Auditing : Review and audit medical charts that have been coded by an autonomous coding engine against national coding guidelines and client-specific SOPs, using Nym's proprietary coding and auditing software to ensure correct coding practices and compliance with industry standards. Identify areas for improvement and provide recommendations for correction.
• Medical Coding : Accurately assign ICD-10, CPT, HCPCS, and other relevant codes to diagnoses, procedures, and services provided, ensuring correct coding practices and compliance with industry standards.
• Compliance : Ensure all coding and documentation practices align with legal, regulatory, and ethical guidelines, including HIPAA, Medicare, and Medicaid requirements.
• Reporting : Generate and present reports on audit findings, coding discrepancies, and overall compliance trends. Provide actionable insights to improve processes and reduce coding errors.
• Collaboration : Work closely with client stakeholders and internal Nym teams to serve as the subject matter expert and to drive alignment between Nym product and client requirements. Participate in customer calls, helping to ensure customers understand the nuances of autonomous coding capabilities.
• Continuing Education : Stay updated with the latest changes in coding systems, regulations, and industry standards to ensure continued compliance and best practices. Assist the team in monitoring current industry trends for potential impacts on the configuration of the Nym coding engine.

Requirements

What We Offer :

Approximate compensation : $55,000-$65,000. Final package may vary and will be determined by various factors including location the role is expected to be performed, candidate experience, education and ideal qualifications.

We are an equal-opportunity employer and encourage candidates from all backgrounds to apply. We are committed to creating an inclusive and diverse workplace.