Coding Auditor

Job Description

Job Description

Overview

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you!

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV / AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

AHF’s core values are :

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What’s Right

Please review our Advocacy page for the latest news on how AHF is Fighting for What’s Right! Advocacy News.

Benefits at AHF

AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health.

STILL INTERESTED? Please continue!

#LI-JI

Responsibilities

The Coding Auditor contributes to AHF by conducting comprehensive reviews of medical documentation, coding, and billing to ensure regulatory compliance and revenue integrity. This position also plays a critical role in managing Coding Artificial Intelligence (AI) workflows, reviewing claims held by the AI, validating coding recommendations, and ensuring appropriate resolution. The auditor provides clear feedback and education to improve documentation accuracy, coding quality, and system efficiency.

The Coding Auditor enhances the reputation of AHF by delivering outstanding services that results in patient loyalty.

You will be a passionate advocate for our top initiatives.

To be successful as the Coding Auditor, it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF, we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.

AHF has a collaborative organizational structure where staff are accountable to multiple leaders.

The Coding Auditor will work as a part of a close-knit team to accurate and compliant coding, thorough documentation reviews, and the resolution of Coding AI–held claims. The auditor ensures proper ICD-10, CPT, and HCPCS assignment, confirms regulatory compliance, and supports clean-claim submission by validating AI-generated coding recommendations. This role collaborates with providers, coders, and billing teams to reduce denials, improve revenue integrity, and strengthen consistent documentation and coding practices across the organization.

Qualifications

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.