Coding Auditor
RemoteUnited States or Chesterfield, Missouri, United States
Job Summary
Conduct routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, and Revenue codes. Compare procedures and codes on claims against medical records to determine the amount and nature of billable services, then assess the appropriateness of billing and reimbursement. Abstract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records, document findings in spreadsheets, and summarize results in written reports. Maintain current knowledge of coding guidelines and federal/state regulations while complying with Privacy and Security standards. Perform a minimum of 5-10 claim line reviews per hour.
Required Qualifications
- Minimum of one year of investigative experience
- CPC
- CCS
- CCA
- Knowledge of medical terminology
- Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
- Knowledge of specialty medical practices
- Must be detail oriented
- Ability to communicate effectively both verbally and in writing
- Strong listening skills
- Independent
- Responsible
- Self-disciplined
- Ability to meet defined performance and production goals
- Strong computer skills
- Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload
Desired Qualifications
- Certificate/License: CPC, CCS, CCA
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