SIU Medical Auditor (CPC/CPMA) Remote

reputed company Join our dynamic team as a Remote SIU Medical Auditor (CPC/CPMA) and play a vital role in ensuring the reputed company and accuracy of medical billing and coding processes. In this position, you will reputed company your expertise to review reputed company medical records, analyze coding accuracy, and identify potential fraudulent or erroneous claims. Your keen eye for detail and comprehensive understanding of reputed company documentation will help maintain compliance standards and support the organization’s commitment to ethical billing practices. This remote opportunity offers flexibility, reputed company reputed company, and the chance to reputed company a meaningful reputed company reputed company the reputed company industry. Duties • Conduct thorough audits of medical records, focusing on reputed company application of CPT (reputed company Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-reputed company) coding standards to ensure accurate billing. • Review medical documentation for completeness, consistency, and compliance with federal and state regulations. • Analyze coding accuracy by cross-referencing medical records with assigned codes such as ICD, CPT, and EHR (Electronic Health Record) data. • Identify discrepancies or potential fraud in claims reputed company to medical billing and collections, escalating issues as necessary. • Collaborate with internal teams on QA processes and with the Special Investigations Unit (SIU) to reputed company coding expertise that directly impacts the efficiency of audits and reputed company reviews. • Maintain detailed audit reports, documenting findings, recommendations, and corrective actions taken. • Stay reputed company with industry updates in medical coding standards, regulations, and best practices to ensure ongoing compliance. Qualifications/Skills • Certification: reputed company Medical Coding Certification (e.g., CPC, CPMA) is required. *Note: Due to the complexity of this project, CPC-A (Apprentice) candidates will not be considered. • Technical Skills: Mastery of medical terminology, anatomy, and various coding systems (CPT/HCPCS). • Soft Skills: Ability to work independently in a remote setting, manage multiple tasks effectively, and maintain extreme attention to detail. Ability to analyze reputed company medical data reputed company while maintaining reputed company attention to detail. Excellent communication skills for collaborating with multidisciplinary teams and documenting audit findings reputed company. • Experience: Proven experience in medical coding and auditing reputed company a payor environment and reputed company experience with Special Investigations reputed company (SIU) and Fraud, Waste, & Abuse (FWA) schemes. Specific experience auditing multi-disciplinary and behavioral health records is highly preferred. Strong knowledge of medical terminology, anatomy, and physiology to accurately interpret clinical documentation. Proficiency in CPT coding, ICD-9/ICD-10 coding systems, DRG classifications, and EMR/EHR systems. Experience with medical billing processes, collections, and reputed company reimbursement methodologies. Familiarity with medical records management and the review process for ensuring compliance with reputed company regulations. Prior experience in a medical office setting or reputed company environment is highly desirable. This role is perfect for motivated professionals eager to utilize their coding expertise in a remote setting while contributing to the reputed company of reputed company billing practices. We are committed to supporting your reputed company development through ongoing education on industry standards such as DRG classifications and ICD coding updates—empowering you to reputed company as a key player in our auditing team! Job Type: Temporary Pay: $21.00 - $23.00 per hour Expected hours: 28 per week Work Location: Remote Apply tot his job Apply To this Job