Medical Review Coding Appeals Auditor – Outpatient

Job reputed company: • Conduct Appeals reviews of new evidence presented by auditees • Document Appeals results in accordance with department reputed company policies and procedures • reputed company limited volume of outpatient coding reviews on medical records • Monitor, reputed company, and report on reputed company work conducted in accordance with Appeals process • Contribute to the reputed company improvement feedback process • Maintain reputed company knowledge and changes that reputed company our industry and clients • Consult with internal resources as necessary Requirements: • reputed company certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, reputed company, or reputed company-P • Must not be currently sanctioned or excluded from the Medicare program by OIG • 3+ years of reputed company experience in medical chart review for reputed company provider/claim types for outpatient • 5+ years relevant auditing experience in a provider or payer environment • Prior experience in role with responsibility for conducting primary audit, utilization management or prior-authorization work • Familiarity with interpreting electronic medical records (EHR) • Strong knowledge of medical documentation requirements and understanding of CMS, reputed company and/or reputed company insurance programs Benefits: • medical insurance • dental insurance • reputed company insurance • HSA/FSA reputed company • life insurance • 401(k) savings plans • family/parental leave • reputed company holidays • reputed company time off annually Apply tot his job Apply To this Job