Certified Coder / Audit Specialist

Full-time, days. Will work remote after training and orientation.

Requirements

• Two (2) years of work experience in a physician’s office or outpatient/inpatient setting performing documentation review per compliance and Medicare/Medicaid standards, diagnostic code sequencing, and familiarity with medical terminology.
• Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), or Certified Professional Medical Auditor (CPMA) certification required.

Responsibilities

• Audits medical records per compliance measures for all SPI physicians and providers.
• Prepares and distributes recommendations and result findings, including detailed reports of medical chart documentation issues.
• Provides education and training to providers and staff.
• Functions as a resource on coding-related issues for SPI areas.

Skills & Qualifications

• Ability to understand and follow all policies for chart reviews/audits by insurance carriers, government, state, or local entities, including HEDIS, CERT, and RAC.
• Knowledge of compliance with all guidelines, including Medicare and Medicaid standards.
• Ability to review medical documentation in written or EMR format.
• Understands and performs job duties with the utmost level of confidentiality.
• Exhibits work practices supporting HIPAA regulations and abides by all compliance measures.
• Knowledge of HIM, traditional medical charts, and record storage.

Pay

$30.31/hr - $36.37/hr. The salary range reflects base salary exclusive of bonuses or differentials. Many factors, including years of relevant experience and geographical location, are considered when determining the starting rate of pay.

Benefits

• Medical, dental, and vision insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Supplemental life and AD&D insurance
• Dependent life insurance
• Short-term and long-term disability
• Accident insurance, hospital indemnity, and critical illness coverage
• Retirement savings plan
• Flexible spending accounts (healthcare and dependent care)
• Employee assistance program (EAP)
• Identity theft protection
• Pet insurance
• Education assistance
• Daily pay
• Paid time off