Senior Medical Auditor

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

📋 Description

• Conduct monthly and quarterly audits of professional fees and/or facility E/M, surgery, and IR/VIR coding for clients.

• Perform retrospective audits on vendor coders and individual clients to ensure quality assurance.

• Provide educational sessions for vendors and clients based on the findings of audits.

• Verify that vendors and clients adhere to official coding guidelines.

• Generate audit reports and summaries for clients in accordance with established policies and procedures.

• Develop and manage auditing schedules.

• Assist and educate the internal coding team.

• Uphold strict HIPAA compliance and adhere to state and federal regulations regarding the release of information.

⛳️ Requirements

• A Bachelor’s Degree or higher from an accredited institution along with four (4) years of combined experience in professional fee/facility auditing and/or ICD coding and/or CPT/HCPCS; OR a High School Diploma/GED from an accredited institution and eight (8) years of combined experience to substitute for the bachelor's degree requirement.

• At least three years of combined experience in professional fee/facility auditing and/or coding in ICD-10-CM, PCS, and CPT/HCPCS.

• Certification from AAPC and/or AHIMA, such as CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, or CIRCC.

• Minimum of one year of training and proficiency in ICD-10.

• Exceptional customer service and relationship management skills.

• Professional demeanor, adaptability, reliability, eagerness to learn, dedication to excellence, and a commitment to the field.

• Up-to-date knowledge of CPT, PCS, and ICD-10 coding principles along with government regulations and policies.

• Proficient in Microsoft applications, including Excel, Teams, and Word.

• Strong attention to detail with the ability to perform under time constraints.

• Capability to plan, organize, and prioritize job responsibilities under general supervision.

• Must be legally eligible to work in the country of employment without requiring employment visa sponsorship.

🏝️ Benefits

• Variable incentive pay, if eligible.

• Medical, Dental & Vision coverage.

• Health Savings Accounts.

• Health Care & Dependent Care Flexible Spending Accounts.

• Disability Benefits.

• Life Insurance.

• Voluntary Benefits.

• Paid Absences.

• Retirement Benefits.

• Company-paid travel arrangements and related expenses for on-site onboarding.