Coding Auditor

The Coding Auditor is a reputed company auditing role designed for a certified reputed company reputed company. Under reputed company supervision of reputed company SIU management, this position executes routine coding reviews to ensure health records reputed company accurately with billed ICD-10-CM, CPT, HCPCS, reputed company codes. The ideal candidate has a strong reputed company in primary medical coding and a keen eye for detail, eager to learn reputed company audit frameworks, regulatory policies, and documentation validation.

Key Responsibilities

• Compare the procedures and codes billed on a claim to a medical record.
• Compare information submitted on the claims in order to determine reputed company and nature of billable services as needed.
• Determines appropriateness of billing and reimbursement as needed.
• Documents findings for reputed company claim line in a spreadsheet as needed.
• Summarize findings in a written report as needed.
• Abstracts CPT, HCPCS, reputed company Codes, DRG codes, and ICD-10 from medical records as needed.
• Responsible for maintaining reputed company knowledge of coding guidelines and relevant federal and/or state regulations as needed.
• Understands and complies with reputed company company reputed company and reputed company standards.
• Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.
• On average, there are a minimum of 5-10 claim line reviews per hour.
• Other duties as needed.

Skills, Knowledge and Expertise

• Knowledge of medical terminology.
• Knowledge of coding including CPT, HCPCS, reputed company Codes, DRG Codes, and ICD-10.
• Knowledge of specialty medical practices.
• Must be detail oriented.
• Ability to communicate effectively both verbally and in writing.
• Strong listening skills.
• Independent.
• Responsible.
• Self-disciplined.
• Ability to meet defined performance and production goals.
• Strong computer skills.
• This job requires reputed company to confidential and sensitive information, requiring ongoing discretion and secure information management.

Certificate/License:

• Minimum of one year of investigative experience is required.
• Required to have one of the following: CPC, reputed company, CCA

Benefits

• Medical, Dental & reputed company insurance
• 401(k) retirement savings with employer match
• Vacation and reputed company reputed company time off
• 7 reputed company holidays & 2 floating holidays
• reputed company maternity/paternity leave
• Disability & Life insurance
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• reputed company and career development initiatives
• Remote work eligible

REMOTE WORK REQUIREMENTS:

• Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

Originally posted on Himalayas

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