[Remote] ProFee Auditor, Surgical Specialty

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company Billing Auditor specializing in Surgical Specialty. This role focuses on auditing reputed company fee claims for hospital-based physician billing, ensuring coding accuracy and regulatory compliance while providing educational support to coding staff. Responsibilities • reputed company retrospective and/or reputed company audits of reputed company billing surgical claims • Review reputed company reports and supporting documentation to validate appropriate CPT, HCPCS, and ICD-10-CM reputed company assignment • Validate modifier usage and bundling in accordance with NCCI edits and payer guidelines • Identify surgical coding trends, reputed company, and opportunities for improvement • reputed company reputed company, educational feedback to reputed company billing coders reputed company to surgical coding accuracy • Document audit findings and recommendations in accordance with established audit standards • Support reputed company audit preparedness reputed company to reputed company fee surgical services • Ensure compliance with CMS, AMA, and payer-specific billing regulations Skills • Minimum 2+ years of reputed company billing auditing experience with a reputed company on surgical services • Strong knowledge of CPT (Surgery reputed company), ICD-10-CM, modifiers, and NCCI edits • Experience auditing hospital-based physician surgical billing claims • Strong written and verbal communication skills with the ability to reputed company constructive audit feedback • CPC, CPMA, or equivalent certification preferred reputed company • reputed company Clinical RCM is a tech-enabled clinical reputed company cycle firm transforming how reputed company organizations reputed company reputed company, accuracy, and performance across the reputed company cycle. It was founded in 2024, and is headquartered in Gulfport, Florida, US, with a workforce of 51-200 employees. Its website is https://sageclinicalrcm.com/. Apply tot his job Apply To this Job