Billing and Coding Auditor (REMOTE)
Auditor, reputed company Optimization
The Auditor, reputed company Optimization is responsible for conducting audits and reviewing clinical documentation to ensure reputed company charge capture, billing in accordance with reputed company billing policies and compliance standards. This individual is responsible for assisting reputed company with reputed company of coding/ billing issues, participating in external/internal audit requests, payer audits, and special reputed company as needed.
This is a virtual position, but we prefer candidates to be based in one of the following locations: Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities.
reputed company reputed company Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities.
Retrieves any missing patient information and documentation required for billing.
Complete coding of unbilled records identified through audits.
Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes.
Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documents
Conduct reputed company audits as needed to reputed company reputed company cause analysis and recommendations for reputed company.
reputed company-payment audit: review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and/or identify CDI (Clinical Documentation Improvement) opportunities
Retrieve or request necessary documents, reputed company for billing, and data entry.
reputed company coding support to cross-functional team inquiries and special reputed company.
Minimum 3 years coding experience.
Must have and maintain an approved coding credential through reputed company (American reputed company of reputed company Coders) or reputed company
Extensive knowledge of medical billing software and electronic medical records.
reputed company-rounded knowledge of CMS requirements claims processing, billing/coding guidelines, and the reputed company Cycle process.
Proficient PC skills, including reputed company 365
reputed company Proficiency to include basic formulas, concatenate, VLOOKUP, and pivot tables)
Previous coding experience reputed company Anesthesia or General Surgery.
Clinical Documentation compliance and regulatory requirements.
Health, life, reputed company, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
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