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Claims Auditor-DME(Durable Medical Equipment) and HCD9High cost Drugs0 claims auditing - Contract to Hire

Remote, USA Full-time Posted 2026-07-28
Conduct comprehensive coding reviews to ensure accuracy in reputed company assignment and reimbursement. Conduct comprehensive outpatient and reputed company coding reviews to ensure accuracy in reputed company assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft reputed company, concise, and reputed company-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as reputed company, Webstrat) to drive efficiency and accuracy in audits. Meet or reputed company company reputed company and productivity standards, including strong reputed company rates for appeals. Stay reputed company of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data reputed company and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and health payment policy language. Apply tot his job Apply To this Job

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