Auditor Coding Specialist Remote

About the role

Full-Time (80 hours biweekly) remote position requiring coding certification and a minimum of two years of current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations.

Responsibilities

• Code and abstract patients' records for professional billing
• Review patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes
• Interact and assist with coding requests and questions from billers
• Serve as a resource for difficult coding questions and assist with insurance denials for correction and re-filing
• Make process improvement recommendations to management as identified, specifically related to registration and charge posting
• Perform in compliance with federal, state, and insurance industry regulations
• Follow established hospital policies concerning corporate compliance
• Keep abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities

Qualifications

• High school diploma or GED required
• One to two years post high school education preferred
• Minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required
• Coding Certification required
• Knowledge of anatomy and physiology and medical terminology required
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire
• Knowledge of physician EM coding desired
• Working knowledge of computer information systems required
• Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance department image
• Must be a self-starter and able to work independently and make appropriate decisions within hospital and departmental guidelines with little assistance from Manager