Working remotely, the full-time Certified Coding Auditor will ensure accurate and timely reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity.
Key responsibilities
Research and review coding-related claim denials, providing expert guidance on necessary corrections to prevent future issues
Proactively address pre-billing resolution of coding defects to safeguard against reimbursement impacts
Utilize a robust understanding of medical coding and reimbursement methodologies to maximize financial accuracy and efficiency
Required qualifications
High school diploma or equivalent
Minimum of one (1) year of coding experience or two (2) years in a healthcare environment or medical office setting
Certification from AAPC or AHIMA, such as CPC, CCA, CCS, CCS-P, RHIT, or RHIA
Working knowledge of human anatomy, physiology, disease processes, and medical terminology
Ability to work under pressure to meet deadlines with minimal supervision