3 jobs found in Wildwood

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail. The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed. Abstracts...