Medical Coding Auditor – Evaluation & Management
Employment Information
Job Description
Medical Coding Auditor responsible for reviewing health claims and ensuring accurate coding guidelines are met. Working in a remote capacity for a health-focused company.
Responsibilities:
- The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met.
- Makes decisions regarding own work methods, occasionally in ambiguous situations.
- Follows established guidelines/procedures.
- Confirms correct CPT coding assignments.
- Analyzes, enters, and manipulates database.
- Responds to or clarifies internal requests for medical information.
- Reviews medical documentation for clinical indicators to ensure correct coding guidelines are met.
Requirements:
- CPC, CCS, COC, RHIA, or RHIT Certification either through AAPC or AHIMA
- Minimum of 3 years post-certification experience auditing Professional Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health, and minor procedures
- Strong attention to detail
- Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
- Ability to handle multiple priorities
- Capacity to maintain confidentiality
- Excellent communication skills both written and verbal
Benefits:
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
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