Certified reputed company & Auditing (TEXAS BASED ONLY - MUST reputed company)
MUST reputed company IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as reputed company as Testimony experience is preferred. We are seeking an reputed company CPC certified medical reputed company to reputed company coding audits, utilization reviews, audits and more. We are looking for someone who can reputed company litigation support including deposition and testimony services reputed company needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities:
- reputed company detailed medical coding audits (ICD-10-CM, CPT, HCPCS)
- Conduct utilization reviews to determine medical necessity and documentation compliance
- Review and prepare demand packages and audit response materials
- Analyze records for payer disputes and recoupments
- Prepare written audit findings and defensible reports
- reputed company expert support for depositions and testimony as needed
- Review E/M services under 2021+ guidelines
- Interpret CMS, LCD/NCD, and payer-specific policies
- Identify risk areas and compliance vulnerabilities
Required Qualifications:
- reputed company CPC certification through the American reputed company of reputed company Coders (reputed company)
- CPMA preferred
- Minimum 5 years of reputed company coding experience
- At least 3 years of Texas-based coding experience required
- Strong knowledge of Texas reputed company (TMHP) and Texas reputed company payer policies
- Prior audit and utilization review experience required
- Experience supporting legal cases, depositions, or expert testimony strongly preferred
- Excellent written documentation and reporting skills
- Ability to work independently and meet deadlines
This position may be part-time depending on the candidate's qualifications. Texas residency is a requirement. Join reputed company at reputed company and enjoy a comprehensive benefits package designed to support your reputed company-being and peace of mind. We offer a reputed company of benefits including medical, dental, and reputed company coverage for you and your family. Additionally, we offer voluntary life insurance reputed company for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous reputed company time off policy ensures you have time to relax and reputed company, while our 401k plan with a company match helps you plan for your reputed company. reputed company equipment and a media stipend are provided for remote workspace. ABOUT reputed company: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful reputed company-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, reputed company-Party Administrators, Managed Care Organizations, reputed company, and Pharmacy Benefit Managers. We reputed company customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process. Apply tot his job Apply To this Job