Billing Quality Coding Auditor

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Conducts multi-specialty reviews for the Medical Group, verifying CPT, ICD-10, modifiers, and HCPCS codes in accordance with official coding guidelines and CMS standards.

• Prepares summaries of coding review findings and delivers reports to leadership on a monthly basis.

• Evaluates all coders within the department, pinpointing areas for enhancement.

• Offers training, mentoring, and support to coders regarding identified issues and proper coding practices.

• Codes professional billing charges based on an analysis of clinical documentation.

• Identifies and aids in resolving coding challenges and opportunities for process improvement.

• Assists in the development of edits to minimize coding denials.

• Aids in the creation of standardized front-end coding processes and training resources.

• Collaborates with other departments to address coding issues.

• Performs additional duties as assigned.

⛳️ Requirements

• Bachelor's degree in Business or a related field of study.

• A minimum of three (3) years of multi-specialty coding experience in professional billing.

• CPC Certified Professional Coder certification from AAPC.

• CPMA Certified Professional Medical Auditor certification from AAPC.

• Familiarity with medical terminology along with basic anatomy and physiology.

• Capability to apply coding principles to ensure accurate coding.

• Strong analytical skills.

• Proficient knowledge of Epic, Encoder Pro, and 3M.

• Ability to work autonomously and handle multiple projects effectively.

• Competent computer skills in word processing, spreadsheets, and database management.

• Data entry proficiency.

🏝️ Benefits

• Comprehensive health and wellness programs.

• Competitive salary with performance-based incentives.

• Opportunities for professional development and advancement.

• Flexible work arrangements.

• Supportive and collaborative work environment.