Senior Specialist, Coding Auditor

Added
19 days ago
Type
Full time
Salary
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Related skills

auditing documentation cpt hcpcs claims processing

πŸ“‹ 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.

🎯 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.

🎁 Benefits

  • Employee benefits included
  • Unlimited vacation program
  • Annual performance bonuses
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