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Medical Coding Auditor – Inpatient
Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 10,001+Since 1865H1B SponsorCompany SiteLinkedIn
Location
United States
Posted
149 days ago
Salary
$70K - $85K / year
High School3 yrs expEnglish
Job Description
• Audit Medical Records: Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes.
• Compliance Monitoring: Ensure that coding practices comply with federal, state, and payer-specific regulations and guidelines, including HIPAA and CMS standards.
• Identify and Correct Errors: Detect discrepancies and coding errors, provide feedback, and collaborate with coding staff to correct inaccuracies in medical documentation.
• Education and Training: Provide training and support to coding staff on best practices, coding updates, and compliance standards. Conduct workshops and seminars as needed.
• Report Generation: Prepare detailed audit reports that highlight findings, trends, and areas for improvement.
• Policy Development: Assist in developing and updating coding policies, procedures, and guidelines to ensure ongoing compliance and efficiency.
• Collaboration: Work closely with medical billing, compliance, and clinical teams to ensure that coding supports accurate billing and reimbursement processes.
• Stay Current: Keep abreast of changes in coding regulations, industry trends, and best practices. Participate in continuing education to maintain coding certifications.
Job Requirements
- High school diploma or equivalent GED required
- Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred
- Active certification is required. Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) are preferred, while CPC-H, CPC-P, RHIA, RHIT, or CCS-P are all generally accepted as well
- At least three (3) years of direct experience in coding/auditing applicable services, and medical chart review for all provider/claim types
- Coding for emergency care, observation, and same day surgery is preferred
- Prior auditing experience desirable in either a provider setting, or payer experience in claim processing, edit development, and/or coding and reimbursement policy a plus
Benefits
- medical, dental, vision coverage options
- disability coverage options
- life insurance coverage
- 401(k) savings plans
- paid family/parental leave
- 11 paid holidays per year
- sick time and vacation time off annually
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