Related skills
auditing documentation cpt hcpcs claims processingπ Description
- Develop and maintain CPT/HCPCS/ICD-10 coding guidelines and submission requirements.
- Audit documentation (medical records/claims) for accuracy pre/post payments.
- Document findings with sources to support decisions for non-clinicians.
- Create reports and reference guides for team use.
- Draft provider communications to convey findings.
- Participate in educational calls with providers.
π― Requirements
- 1+ years coding/auditing across multiple specialties.
- CPC designation or similar certification.
- Bachelor's degree or 4+ years of work experience.
- Experience in health insurance claims processing, billing, reimbursement, or provider contracting.
- Certified Professional Medical Auditor.
- Ability to translate technical jargon to non-technical end users.
π Benefits
- Employee benefits included
- Unlimited vacation program
- Annual performance bonuses
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