Job Description
We are looking for a skilled Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract to permanent position, you will play a vital role in ensuring the accuracy and compliance of medical coding and abstracting processes. This role offers an excellent opportunity to contribute to healthcare excellence while advancing your expertise in a collaborative environment.
Responsibilities:
• Conduct routine and specialized audits of inpatient and outpatient medical accounts to evaluate coding accuracy and compliance.
• Provide constructive feedback to coding staff based on audit results and address any discrepancies identified.
• Collaborate with coding education coordinators and managers to deliver training sessions tailored to audit findings.
• Respond to coder inquiries and review specific cases to ensure proper code assignments.
• Develop detailed audit reports and maintain accurate audit result records.
• Review and submit well-informed opinions on government and third-party auditor denials, providing necessary documentation and responses.
• Assist with coding tasks as needed to minimize unbilled accounts and improve revenue cycle efficiency.
• Research and correct coding errors, providing insights to improve processes and compliance.
• Communicate audit findings effectively to stakeholders, including Administration, Revenue Cycle, and Quality Management teams.
• Participate in educational sessions, training programs, and task force meetings to stay updated on coding standards and practices.
Job Location Requirement – Remote with Residency in Ohio, Kentucky, or Indiana
This is a fully remote position; however, candidates must reside in Ohio, Kentucky, or Indiana to be eligible for consideration.
• High school diploma or equivalent; additional certifications in medical coding are preferred.
• A minimum of five years of experience in medical coding or related auditing roles.
• Proficiency in ICD-10 and CPT coding standards.
• Must be a CPC
• Strong knowledge of outpatient and inpatient coding practices.
• Excellent attention to detail and analytical skills to identify and resolve coding discrepancies.
• Effective communication skills for providing feedback and collaborating with team members.
• Ability to manage multiple tasks and meet deadlines in a fast-paced healthcare environment.
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