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Certified Medical Coding Auditor @Medusind

[Hiring] Certified Medical Coding Auditor @Medusind

Mar 20, 2025 - Medusind is hiring a remote Certified Medical Coding Auditor. 💸 Salary: unspecified. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Certified Coder ensures all collected data is accurate, complete and compliant with state and federal regulations as well as Official Guidelines for Coding and Reporting. This position ensures that all encounters are coded, abstracted and finalized accurately and in accordance with defined service level agreements.

In this role, you'll be collaborating with an innovative team of people, moving exciting projects forward and working to improve systems and processes along the way for various types of specialties including FQHC, CHC, Behavioral health, Dental, etc.

Key Responsibilities:

  • Audit Medical Records:
    • Review and ensure medical codes are correctly applied to patient records for reimbursement.
    • Perform regular coding audits to ensure compliance with payer guidelines, government regulations, and industry standards.
  • Problem Resolution:
    • Identify and resolve discrepancies and address any inconsistencies or errors in medical documentation and coding.
    • Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to negligence.
  • Reporting and Analytics:
    • Compile detailed reports on audit findings, presenting recommendations for improvements to enhance coding accuracy and efficiency.
  • Continuous Improvement:
    • Stay up-to-date on the latest coding changes, updates to payer requirements, and healthcare industry trends to maintain a competitive edge.
    • Contribute to the internal process documentation and training material.

Qualifications

  • High School Diploma or GED.
  • At least 2 years’ experience.
  • Certified Professional Coder Certification (CPC) - Required.
  • Certified Professional Medical Auditor (CPMA) – Required.
  • FQHC billing experience – preferred.

Requirements

  • Demonstrates experience and a proven track record in Coding in a facility of significant size and complexity, information systems, and coding applications, as typically acquired in 1 year of experience performing FQHC, outpatient coding.
  • Strong ability to collaborate with cross-functional teams, including physicians, coders and billing teams to address discrepancies and enhance overall operational efficiency.
  • High level of accuracy, with the ability to set and maintain priorities in a fast-paced environment.
  • Experience with billing software, data analytics, and process improvement initiatives. Leveraging technology and automation to enhance efficiency and accuracy.
  • Should be able to adapt to changes in regulations, technologies, and industry trends and adjust accordingly.

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Back to Remote jobs  >   All others
Certified Medical Coding Auditor @Medusind
All others
Salary 💸 unspecified
Remote Location
USA
Job Type unspecified
Posted Mar 20, 2025
Apply for this position Unlock 54,662 Remote Jobs
📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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