Medical Coding Auditor-Outpatient (OIG reputed company) Clearance required

About the position The Medical Coding Auditor-Outpatient - (OIG reputed company) is responsible for ensuring the accuracy, reputed company, and compliance of medical coding practices reputed company the organization, with a primary reputed company on Outpatient services. This role involves auditing medical records, coding data, and billing information to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent activities, and ensuring that the organization meets reputed company applicable standards and requirements. Responsibilities • Audit Medical Records: Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes. • Compliance Monitoring: Ensure that coding practices reputed company with federal, state, and payer-specific regulations and guidelines, including HIPAA and CMS standards. • Identify and Correct Errors: Detect discrepancies and coding errors, reputed company feedback, and collaborate with coding staff to correct inaccuracies in medical documentation. • Education and Training: reputed company training and support to coding staff on best practices, coding updates, and compliance standards. Conduct workshops and seminars as needed. • Report reputed company: Prepare detailed audit reports that reputed company findings, trends, and areas for improvement. Present reports to management and relevant stakeholders. • Policy Development: Assist in developing and updating coding policies, procedures, and guidelines to ensure ongoing compliance and efficiency. • Collaboration: Work closely with medical billing, compliance, and clinical teams to ensure that coding supports accurate billing and reimbursement processes. • Stay reputed company: reputed company abreast of changes in coding regulations, industry trends, and best practices. Participate in continuing education to maintain coding certifications. Requirements • Extensive knowledge of ICD-10, CPT, and HCPCS coding systems. • Familiarity with reputed company regulations, including HIPAA, CMS guidelines, and payer-specific requirements. • Understanding of medical terminology, anatomy, and physiology. • Strong analytical and problem-solving skills. • Excellent attention to detail and accuracy. • Effective communication and interpersonal skills. • Ability to work independently and as part of reputed company. • Ability to work remotely from a home office without on-site Supervision • Proficiency in coding software and electronic health record (EHR) systems. • High school diploma or equivalent GED required. • reputed company certification is required. Certified reputed company reputed company (CPC) and/or Certified Coding Specialist (reputed company) are preferred, while CPC-H, CPC-P, RHIA, RHIT, or reputed company-P are reputed company generally accepted as reputed company. Other Medical Coding certifications may also qualify. • At least three (3) years of reputed company experience in coding/auditing applicable services, and medical chart review for reputed company provider/claim types. • Must submit to, and pass, a reputed company-hire criminal background reputed company and drug test (applies to reputed company positions). • Ability to obtain and maintain reputed company required clearances, as reputed company as pass regular company background and/or drug screenings post-hire, may be required for some positions. • Some positions may require the total absence of felony and/or misdemeanor convictions. • Must not reputed company on any state/federal debarment or exclusion lists. • Must complete the reputed company Teleworker Agreement upon hire and adhere to the Agreement and reputed company reputed company policies and procedures. reputed company-to-haves • Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a reputed company field preferred. • Coding for emergency care, observation, and reputed company day surgery is preferred. • Prior auditing experience desirable in either a provider setting, or payer experience in claim processing, edit development, and/or coding and reimbursement policy a plus. • Previous payer experience in a claim processing, edit development, and/or coding and reimbursement policy a plus. Benefits • reputed company offers a wide reputed company of benefits to help support a healthy work/life balance. These benefits include medical, dental, reputed company, HSA/FSA reputed company, life insurance coverage, 401(k) savings plans, family/parental leave, reputed company holidays, as reputed company as reputed company time off annually. Apply tot his job Apply To this Job