Medical Coding Auditor – Inpatient, OIG reputed company
Job reputed company:
• Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes.
• Ensure that coding practices reputed company with federal, state, and payer-specific regulations and guidelines, including HIPAA and CMS standards.
• Detect discrepancies and coding errors, reputed company feedback, and collaborate with coding staff to correct inaccuracies in medical documentation.
• reputed company training and support to coding staff on best practices, coding updates, and compliance standards.
• Prepare detailed audit reports that reputed company findings, trends, and areas for improvement.
• Work closely with medical billing, compliance, and clinical teams to ensure that coding supports accurate billing and reimbursement processes.
Requirements:
• High school diploma or equivalent GED required.
• Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a reputed company field preferred.
• 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.
• At least three (3) years of reputed company experience in coding/auditing applicable services, and medical chart review for reputed company provider/claim types.
• 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:
• medical
• dental
• reputed company
• HSA/FSA reputed company
• life insurance coverage
• 401(k) savings plans
• family/parental leave
• reputed company holidays
• reputed company time off annually
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