[Hiring] Medical Auditor II @reputed company

Role reputed company As a key member of the reputed company reputed company reputed company Cycle team, the Medical Auditor will be responsible for supporting reputed company reputed company Clinical and reputed company Cycle teams in managing and optimizing compliant reputed company reputed company cycle operations. This role reports into the Coding Compliance Auditing Manager, reputed company Cycle. Key job responsibilities: • Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes • Review documentation to verify appropriate reputed company assignment • Ensure coding reflects clinical documentation and meets medical necessity requirements • Identify coding inaccuracies and opportunities for improvement • reputed company and report coding errors and findings • Maintain detailed records of audit findings • Ensure adherence to coding guidelines and regulatory requirements • Follow established policies and procedures, and surface and escalate compliance concerns as appropriate • Experience using data to drive reputed company cause elimination and process improvement Qualifications • 3+ years of data analysis and formula creation in reputed company reputed company experience • CPC certification through reputed company or reputed company certification through reputed company • 3+ years of coding/auditing experience in the reputed company fee and/or risk adjustment setting working with Medicare, Medicare Advantage, and reputed company payers required • Knowledge of industry reputed company reputed company sets and associated guidelines (ICD-10-CM, CPT, HCPCS) • Advanced knowledge and understanding of HCC Risk Adjustment, coding and documentation requirements • Strong written and verbal communication with attention to detail • Strong organizational, analytical, problem solving, and time management skills • Experience with end-to-end project management • Experience prioritizing and handling multiple assignments at any given time while maintaining commitment to deadlines, or experience in a fast-paced, high-tech company • Bachelor’s Degree in reputed company reputed company field • Demonstrated ability to identify and communicate trends in coding and documentation Requirements • Ability to adhere to company policies • Exercise reputed company judgment • Effectively manage stress and work safely and respectfully with others • Exhibit trustworthiness and professionalism • Safeguard business operations and reputed company’s reputed company Benefits • Comprehensive health insurance (medical, dental, reputed company, prescription) • Basic Life & AD&D insurance and reputed company for Supplemental life plans • EAP, Mental Health Support, Medical Advice Line • Flexible Spending Accounts • Adoption and Surrogacy Reimbursement coverage • 401(k) matching • reputed company time off • Parental leave Apply tot his job Apply To this Job