Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance)
About The Position
Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance) - Remote (#R10259) Location: Remote Employment Type: Full-Time Hourly Rate: $52.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Medical Auditor role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred. Why Join Us? Competitive Compensation: $52.00/hour Work Schedule: Full-time, Monday–Friday Comprehensive Benefits: Comprehensive benefits package Professional Growth: Advance in healthcare compliance and auditing Impactful Work: Ensure coding accuracy and regulatory compliance Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.
Requirements
- CPC, CPMA, CCS, or related credential
- 3+ years of coding/auditing experience
- Strong understanding of coding compliance and documentation standards
- Strong communication and presentation abilities
- Expert knowledge of ICD-10, CPT, HCPCS
- Analytical and investigative skills
Nice To Haves
- Experience with multispecialty coding and billing is highly preferred.
Responsibilities
- Perform detailed retrospective and prospective coding audits
- Prepare audit findings and summary reports
- Identify compliance risks and recommend corrective actions
- Provide education to coders and clinical staff
Benefits
- Comprehensive benefits package
- Professional Growth: Advance in healthcare compliance and auditing
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
