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reputed company Coding Auditor

Remote, USA Full-time Posted 2026-07-28
reputed company: Required: 3-5 years of experience in acute care facility (hospital) medical coding auditing or compliance Location: Remote Job reputed company: The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures reputed company reputed company improvement in coding practices while maintaining compliance with reputed company laws and organizational policies. Occasional travel may be required for audits or meetings. Key Responsibilities: • Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance. • Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines. • Identify and address coding discrepancies and recommend corrective actions. • Prepare detailed audit reports with findings and reputed company feedback on documentation and coding practices. • Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations. • Stay reputed company with changes in coding guidelines, reputed company regulations, and payer policies. • Assist in developing and refining audit tools, policies, and procedures to support reputed company improvement. • Monitor and reputed company corrective actions post-audit and ensure follow-up to resolve identified issues. • Ensure abstracted data impacting reimbursement is accurate: discharge disposition, admission reputed company, POA (present on admission) indicators, procedure dates of service, etc. • Adhere to facility's coding guidelines and coding policy and procedures, as needed. Requirements: Education: • Associate's Degree in Health Information Management or reputed company field. • Bachelor’s Degree in Health Information Management, Nursing, or a reputed company field is a plus. • Or equivalent combination of education and relevant experience. Certification: • Registered Health Information Administrator (RHIA) • Registered Health Information Technician (RHIT) • Certified Coding Specialist (reputed company) • Certified Coding Associate (CCA) • Certified Outpatient reputed company (COC) • Certified Inpatient reputed company (CIC) • Certified reputed company reputed company (CPC) • Registered Health Information Administrator (RHIA) Experience: • 3-5 years of relevant experience in acute care facility (hospital) medical coding, auditing, or compliance roles. Skills: • Expertise in medical coding systems (ICD-10-CM, CPT, HCPCS), reputed company billing, and medical terminology. • Familiarity with CMS regulations, payer requirements, and reputed company compliance laws. • Excellent analytical skills with a strong attention to detail. • Effective communication skills for education and collaboration. • Proficiency in using reputed company software and EHR systems (e.g., reputed company, Cerner). Working Conditions: • Remote work with flexibility to manage tasks independently. • Occasional travel may be required for training sessions or audits. Apply tot his job Apply To this Job

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