Medical Coding Auditor - REMOTE

Jobgether

3d•Remote

About The Position

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Coding Auditor. This role is crucial in ensuring the accuracy and appropriateness of medical coding on claims submitted against medical records. The Medical Coding Auditor will play a significant role in cost reduction by enhancing the precision of provider contract payments and ensuring correct claims payments for CPT/HCPCS code assignments. The candidate will often need to make independent decisions and will have the opportunity to contribute to quality improvement initiatives. You will work in a collaborative environment that prioritizes healthcare and compliance.

Requirements

CPC, COC, CCS, ROCC, RHIA, or RHIT Certification with at least 3 years of experience post-certification
Strong knowledge of CPT/HCPCS coding and outpatient specialty surgeries
Ability to interpret operative reports for coding
Experience in chemotherapy/therapeutic infusion coding
Proven ability to exercise judgment and manage workload independently
Attention to detail and strong communication skills
Proficiency in Microsoft Office Programs (Word, Excel)

Responsibilities

Verify and ensure the accuracy of procedure codes based on services rendered
Review medical documentation for clinical indicators to ensure compliance with coding guidelines
Utilize encoders and various coding resources effectively
Conduct peer reviews to ensure adherence to coding standards and provide necessary reports
Maintain strict patient and physician confidentiality
Keep current with ICD-10 and CPT coding guidelines and government regulations
Participate in process improvement initiatives