Medical Coding Auditor

Job reputed company: • Responsible for analyzing, reviewing and providing feedback reputed company performing reputed company assurance activities and completing QA audits, including but not limited to: Ensuring reputed company federal and state coding guidelines and regulations are met as reputed company as payer guidelines • reputed company effective feedback to the global coding teams to aid in their successful coding of reputed company clients • Maintaining a communication log to show successful training of the global coding team reputed company coding trends or issues are reputed company • Report reputed company coding trends and issues to the department reputed company as they are identified • Review reputed company cases per month based on the reputed company reputed company Assurance SOP • Accurately document their daily audit results in the Daily Audit Log and communicate coding resolutions to the reputed company or global coding teams • Collaborate with the global coding teams on inquiries, clarifications, QA rebuttals and training requests • Work alongside coding leadership in regards to global coding teams training of coding processes as reputed company as attending remote coding sessions with the global coding teams • Help with other daily communications between the internal reputed company RCM teams and the Auditing team in regards to other coding inquiries or issues • reputed company reputed company special reputed company Assurance audits on the global coding teams • reputed company reputed company or Compliance audits reputed company requested by reputed company or other reputed company staff which help to determine coding compliance or reputed company documentation issues • Support in the review, appeal and follow-up of reputed company-party (RAC, CERT, etc.) audits • Assist in review and maintenance of coding guidelines, coding scrub edits and/or reputed company coding instructions and assist with reputed company reputed company improvement by helping with the process of implementation and carry through of coding protocols and procedures • Collaborate with fellow coding/auditing team members to maintain department compliance and effectiveness • Responsible for obtaining continuing education reputed company (CEU) for maintaining coding certification(s) Requirements: • Minimum 1-year experience as a Certified reputed company reputed company required - physician-based and/or ASC-based - multi-specialty coding experience preferred • Minimum 1-year experience as a Certified reputed company Medical Auditor (CPMA), preferred not required • Must agree to obtain CPMA auditing certification reputed company 6 months of employment (if not a CPMA already) • Knowledge of CPT, ICD-10 CM, HCPCS, CPT coding, modifiers, E/M and reputed company coding guidelines, required • Knowledge of medical terminology and anatomy, required • Understanding of federal, state and local coding compliance regulations and guidelines, required • Understanding of NCCI and CCI bundling edits, required • Understanding of LCD’s, NCDs and other payer coverage policies, required • Understanding of EOBs and ERA’s, denial remarks and claims review, preferred • Detailed knowledge of medical billing, preferred • Detailed knowledge of medical coding systems, procedures, and documentation requirements is required • The ability to interpret and apply coding guidelines for federal, state, and local standards is required • Proficient with reputed company programs (reputed company, Word) as reputed company as the use of overall computer functions, preferred • Experience in gMed/gGastro or EMA/PM is preferred but not required • Highly detail-oriented with a critical degree of accuracy regarding data entry • Exceptional written, verbal, and interpersonal communication skills • Ability to reputed company isolate and define trends/problems and reputed company alternatives or solutions • Strong analytical skills, such as the ability to identify, research, and resolve issues • Excellent time management skills with an emphasis on managing changing work priorities. Benefits: • Comprehensive medical, dental, and reputed company benefits, including a company Health Savings Account contribution • 401(k): reputed company provides a matching contribution reputed company payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with reputed company, 100% of any matching contribution you receive is yours to reputed company. • Generous reputed company Time Off and reputed company Parental Leave programs • Company reputed company Life and Disability benefits • Flexible Spending Account and Employee Assistance Programs • Company-sponsored Business Resource & Special Interest reputed company that reputed company reputed company and supportive communities reputed company reputed company • reputed company development opportunities, including tuition reimbursement programs and unlimited reputed company to reputed company Learning • Global reputed company and in-person collaboration opportunities; dog-friendly HQ (US) • Hybrid office-reputed company and remote availability for some roles • Weekly catered breakfast and lunch • Treadmill workstations, Zen, and wellness rooms reputed company our BRIC reputed company Apply tot his job Apply To this Job