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Medical Coding & Compliance Auditor

USA · Full-time

About The Position

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

At least 3+ years of outpatient coding and/or auditing experience.
A minimum of one of the following certifications is required and must be maintained: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) , Certified Coding Specialist-Physician (CCS-P), Certified Outpatient Coder (COC), Certified Ambulatory Surgery Center Coder (CASCC), or Certified Professional Coder (CPC).
Experience with Surgical Specialty Organizations (ex. AAOS, ACG, ACOG, etc.) references are a plus but not required.
Experience with ACEP (American College of Emergency Physicians) and Emergency Department Facility and Professional Fee coding is a plus.
Excellent analytical skills, attention to detail, and the ability to communicate complex information effectively.
Ability to maintain confidentiality and adhere to ethical standards in all aspects of the job. Strong organizational skills and the ability to work independently as well as part of a team.
Living/working in the Eastern Time Zone is strongly preferred.

What We Offer:

Competitive salary and performance-based bonus
Comprehensive health, dental, and vision insurance
Unlimited paid time off (PTO)
Opportunities for career growth and professional development
Flexible work environment
Remote employee perks, such as monthly meal budget, home office stipend, and utilities reimbursement

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.

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

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Nym Company Values

Customer Focus

Our customers are at the center of everything we do. Every decision we make is guided by the value it creates for them, and we continuously seek to improve their outcomes.

Winning Together

We are results-driven and strive for consistent success. We win and lose as a team, celebrating victories and learning from setbacks together while upholding individual accountability.

Can-Do Approach

We believe in our ability to overcome any challenge. Our default answer is yes. We are resourceful, resilient, and relentless in our pursuit of innovation and improvement, always focused on generating value for our customers.

Respect for the Individual

We treat everyone with dignity and respect, valuing diverse viewpoints and perspectives. At Nym, individuals are welcomed and embraced, and we prioritize work/life balance.