To optimize the revenue cycle, the full-time remote Certified Coding Auditor will ensure accurate and timely reimbursement by proactively resolving medical coding claim defects and providing expert guidance on corrections to prevent future issues.
Key responsibilities
Research and review coding-related claim denials to recover lost revenue and prevent future issues
Address pre-billing resolution of coding defects to safeguard against reimbursement impacts
Utilize a robust understanding of medical coding and reimbursement methodologies to enhance financial accuracy and efficiency
Required qualifications
High school diploma or equivalent
Minimum of one year of coding experience or two years in a healthcare environment
Certification from AAPC or AHIMA (e.g., CPC, CCA, CCS, CCS-P, RHIT, RHIA)
Working knowledge of human anatomy, physiology, and medical terminology
Ability to work under pressure to meet deadlines with minimal supervision