[Hiring] Senior Medical Auditor @SOLVENTUM

Role Description

As a Senior Medical Auditor, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:

• Performing monthly, quarterly pro-fee and/or facility E/M, Surgery, IR/VIR coding audits for clients
• Conducting retrospective audits on vendor coders and individual clients for Quality Assurance
• Performing educational sessions to vendors and clients based on the audit results
• Ensuring vendor and client compliance with official coding guidelines
• Creating audit reports and summaries for clients in accordance with policies and procedures
• Creating and maintaining auditing schedules
• Supporting and educating internal coding team
• Maintaining strict HIPAA compliance and following all state and federal guidelines for release of information

Qualifications

• Bachelor’s Degree or higher from an accredited university AND Four (4) years of combined experience with professional fee/Facility auditing and/or ICD coding and/or CPT/HCPCS
• OR High School Diploma/GED from an accredited institution AND Eight (8) years of combined experience with professional fee/Facility auditing and/or ICD coding and/or CPT/HCPCS in lieu of the bachelor’s degree education requirement
• Three (3) years combined experience with professional fee/Facility auditing and/or coding in ICD-10-CM, PCS, and CPT/HCPCS
• AAPC and/or AHIMA certification (e.g., CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, CIRCC)
• One (1) year of ICD-10 trained and proficient

Requirements

• Excellent customer service and customer relations skills
• Must exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
• Must maintain current working knowledge of CPT, PCS and ICD-10 coding principles and government regulation and policies
• Working knowledge of Microsoft applications (e.g., Excel, Teams, Word)
• Strong attention to detail, capable of working under time restraints
• Ability to plan, organize and prioritize job duties under general supervision

Benefits

• Competitive pay and benefits
• Medical, Dental & Vision
• Health Savings Accounts
• Health Care & Dependent Care Flexible Spending Accounts
• Disability Benefits
• Life Insurance
• Voluntary Benefits
• Paid Absences
• Retirement Benefits