Job Details

Benefits:

Company parties

Competitive salary

Flexible schedule

Remote | Contract | Internal Auditor – Medical Billing/Coding (SNF Part B, CCM, RPM, E/M Audits)

Company: Elevate Healthcare

Job Type: Independent Contractor (1099)

Pay: Competitive, based on experience

About Us

We are a specialized medical billing group focused on Skilled Nursing Facility (SNF) billing under Medicare Part B, Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and professional E/M services. Our mission is to ensure accurate reimbursement and compliance through exceptional billing, coding, and audit practices.

Position Overview

We are hiring a highly experienced Internal Auditor to independently conduct detailed billing and documentation audits for SNFs, CCM, RPM, and Evaluation & Management (E/M) services. This role is remote and suited for a seasoned, self-directed expert who can not only uncover compliance issues but also effectively educate providers on proper documentation and coding.

What You'll Do

Perform internal audits for services billed under SNF Part B, CCM, RPM, and professional services

Validate E/M level selection by comparing provider documentation to Medical Decision Making (MDM) criteria

Identify overcoding or undercoding trends and provide recommendations for correction

Ensure CPT, HCPCS, and ICD-10 coding accuracy including appropriate modifiers and place of service

Create thorough audit reports with clear summaries, findings, and corrective actions

Lead provider education sessions to review audit results and improve documentation practices

Develop and manage your own audit tools, reporting templates, and tracking systems

Make proactive recommendations for process improvements and compliance enhancements

What We're Looking For

5+ years of experience in medical auditing and coding, with focus on SNFs, CCM, RPM, and E/M services

Advanced knowledge of E/M MDM guidelines (2021+ standards) and Medicare billing rules

CPMA, CPC, CRC, or similar credential from AAPC or AHIMA required

Comfortable working independently in a contractor role with minimal oversight

Strong attention to detail and ability to interpret and apply CMS guidelines accurately

Skilled in Excel and audit tools, and experienced in working within various EHRs

Excellent written and verbal communication skills, especially in provider education

Why Join Us?

100% remote and flexible schedule

1099 contractor model

Work directly with leadership and providers

High-impact role focused on quality, integrity, and provider support

Opportunity to shape internal compliance strategy

To Apply

Please submit your resume and a brief cover letter summarizing your experience in: -SNF Part B billing audits

• CCM/RPM compliance -E/M leveling and MDM validation -Educating providers on documentation improvement

You may also include redacted examples of prior audit summaries or provider feedback you've facilitated.