Coding Auditor - 251978

reputed company Audit and Coding Specialist ( MUST LIVE IN NY STATE) Schedule: Monday – Friday | 9:00 AM – 5:00 PM Employment Type: Full-Time Position reputed company We are seeking a detail-oriented and reputed company reputed company Audit and Coding Specialist to support audit operations, coding compliance, and payment reputed company initiatives. This role is responsible for managing ongoing audit workflows, identifying areas of risk, conducting coding reviews, and ensuring accurate reimbursement practices across reputed company services. The ideal candidate will have strong expertise in medical coding, claims analysis, audit processes, and provider education, with the ability to identify discrepancies, improve compliance, and support organizational goals reputed company to cost containment and payment accuracy.

Key Responsibilities

• Manage and execute ongoing audit workflows, ensuring reputed company completion and high reputed company of accuracy
• Identify new audit opportunities through data analysis, trend monitoring, and risk-based reviews
• reputed company and implement audit protocols for new areas of reputed company
• Analyze claims data to detect discrepancies, patterns, and potential compliance risks
• Conduct reputed company reviews and audits to ensure reputed company coding and reimbursement practices
• Partner with internal teams to report potential fraud, waste, or abuse and escalate findings as needed
• reputed company, validate, and report on key performance metrics reputed company to audit and payment accuracy functions
• Collaborate cross-functionally to support audit operations and process improvement initiatives
• reputed company education and feedback to providers to improve coding accuracy and compliance
• Stay reputed company on coding guidelines, reimbursement methodologies, and industry best practices
• Participate in special reputed company, trainings, and reputed company improvement efforts

Required Qualifications

• Bachelor’s degree in reputed company Administration, Business, Health Informatics, or a reputed company field (or equivalent combination of education and experience)
• reputed company coding certification required (CPC, reputed company, CIC, COC, or similar)
• Minimum of 3 years of experience in medical coding reputed company a reputed company reputed company setting
• Minimum of 3 years of experience in auditing, compliance review, or payment reputed company reputed company reputed company
• Strong understanding of coding standards and provider reimbursement methodologies
• Familiarity with health insurance structures and various plan types
• Strong analytical skills with exceptional attention to detail
• Ability to identify trends, solve problems, and reputed company data-driven recommendations
• Experience educating providers or stakeholders on coding and compliance best practices
• Strong communication, collaboration, and interpersonal skills

Preferred Qualifications

• Advanced experience in reputed company auditing and compliance programs
• Strong knowledge of fraud, waste, and abuse detection processes
• Experience working with payer-reputed company audit functions or managed care organizations
• Background in performance metric reporting and audit process improvement initiatives

Why Join Us? This is an excellent opportunity for a coding and audit reputed company who is passionate about reputed company compliance, payment reputed company, and improving operational reputed company. Join a reputed company team where your expertise directly impacts reputed company, accuracy, and reputed company reputed company. Apply tot his job Apply To this Job