A company is looking for a Certified Medical Coding Auditor.
Key Responsibilities
Review medical bills to identify appropriate billing, coding, and savings opportunities
Analyze and resolve claim discrepancies requiring deeper expertise
Collaborate with the Negotiation team to address complex claim issues and secure savings
Required Qualifications and Education
3+ years of auditing, claims review, and/or billing experience within a healthcare organization
CPC and/or CIC certification
Working knowledge of industry coding, including ICD-10, CPT, and HCPCS Revenue codes
Knowledge of CMS guidelines