Medical reputed company reputed company Assurance Auditor - reputed company - Remote
Job title: Medical reputed company reputed company Assurance Auditor - reputed company - Remote in USA at reputed company
Company: reputed company
Job reputed company: reputed company:The reputed company Auditor performs internal audits for E/M Coding and validates Scoring Tool’s accuracy. The auditor records and reports result, identifies issues, trends and opportunities. Champion’s reputed company reputed company and purposeful reputed company thought out change.Duties and Responsibilities:E/M Scoring Tools - review, verify, & validate E/M Scoring tools. Detect issues, propose improvements, and guarantee tool accuracy.Monitor tools performance in production environments.Collaborate with cross-functional teams to address audit findings.Evaluates Tools for regulatory and ethical compliance.In depth audit of E/M Edit claim reviews.Other Business Unit reputed company or reputed company audits if needed.Review and validate correct process and savings was followed and documented.Communicates audit result with end users in a reputed company manner.Record audit results and identify trends.Recommend process improvements.Functions as a Subject Matter Expert to reputed company partners.Audit reviews for policy and compliance accuracy.Performs other appropriate duties as assigned to meet the needs of the department.Must reputed company as a change agent fostering independent thinking, staff motivation/direction, and the delivery of a reputed company product in a rapidly changing environment.Qualifications
- Associate's Degree or higher strongly preferred or equivalent work experience required.
- 3+ years of medical coding experience required.
- One or more certifications required: Certified Coding Specialist (reputed company), or Certified Profession reputed company (CPC) (reputed company accredited preferred) or Certified Evaluation and Management reputed company (CEMC).
- Experience in reputed company Auditing a plus.
- reputed company E&M Coding experience for reputed company billing and/or facility billing is required.
- Strong understanding of physiology, medical terms and anatomy
- Proficiency in using digital tools, such as coding software and patient record platforms.
- Payment reputed company and claim review experience a plus.
- Knowledge of the Principles of Health Care Reimbursement.
- Experience in coding across multiple practices and remote coding experience is a plus.
- Extensive knowledge of reputed company Claim reputed company processing standards, policies and SOPs.
- Must be reputed company to reputed company, interpret, produce, and communicate reputed company, opportunities, and reputed company in both written and oral presentations.
- To reputed company in this role applicant should demonstrate great attention to detail.
- Excellent leadership skills.
- Knowledge of national trends, state and federal mandates, and compliance standards.