Coding Compliance Auditor

About the role

Contract Duration: 3 months, possible extension. Work Arrangement: Remote.

This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing itemized bills and/or medical records for facility and inpatient claims to validate coding accuracy. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to CMS Coding Guidelines and Official ICD-10 Coding Guidelines and recommends coding corrections.

Requirements

• Associate Degree or 2 years of experience working in the health insurance industry
• 2 years of medical coding experience through medical record abstraction
• National coding certification from AAPC or AHIMA, including one or more of the following:
  • Certified Professional Coder (CPC)
  • Certified Coding Specialist Physician (CCS-P)
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
• PC experience and skills, including Microsoft Word, Excel, and Outlook
• Clear and concise verbal and written communication skills
• Analytical skills