Coding Auditor

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

📋 Description

• Conduct regular coding reviews to verify that health records accurately correspond with billed ICD-10-CM, CPT, HCPCS, and Revenue codes.

• Evaluate the procedures and codes submitted on claims against medical records.

• Analyze claim data to assess the nature and amount of billable services.

• Assess the appropriateness of billing practices and reimbursement processes.

• Record findings for each claim line in a spreadsheet format.

• Compile findings into comprehensive written reports.

• Extract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records.

• Stay updated on coding guidelines and pertinent federal and/or state regulations.

• Adhere to the company's Privacy and Security protocols.

• Safeguard confidential health information in compliance with applicable laws.

• Achieve a minimum average of 5–10 claim line reviews per hour.

• Undertake additional tasks as necessary.

⛳️ Requirements

• Certified professional coder.

• At least one year of investigative experience is mandatory.

• Required certification includes one of the following: CPC, CCS, or CCA.

• Proficiency in medical terminology.

• Understanding of coding practices, including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10.

• Familiarity with specialty medical practices.

• Must possess a keen attention to detail.

• Effective verbal and written communication skills are essential.

• Strong listening abilities.

• Capability to meet established performance and productivity targets.

• Advanced computer skills are required.

• Ongoing discretion and secure information management when accessing confidential and sensitive data.

• High-speed Internet is essential; satellite connections are not permitted, with a minimum speed of 25mbs download and 5mbs upload.

🏝️ Benefits

• Medical, Dental & Vision insurance.

• 401(k) retirement savings plan with employer matching.

• Paid vacation and sick leave.

• 7 paid holidays along with 2 floating holidays.

• Paid maternity/paternity leave.

• Disability and Life insurance coverage.

• Flexible Spending Account (FSA).

• Employee Assistance Program (EAP).

• Opportunities for professional and career development.

• Eligibility for remote work.