Certified Coding Auditor (Remote)

North American Partners in Anesthesia; United States; On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Paid Time Off

Health, life, vision, dental, and AD&D

FSA/HSA

401(k)

Leadership development

Job summary

North American Partners in Anesthesia is seeking a skilled medical coder to review clinical documentation and assign accurate anesthesia service codes. You will pull information from hospital EMR systems, resolve coding questions, and perform daily edits in the billing system to ensure clean claims.

The role emphasizes adherence to payor guidelines, research into denials, and collaboration with offshore vendors. Strong attention to detail and knowledge of CMS guidelines are preferred.

Qualifications

• Minimum of 2 years’ professional medical coding experience.
• CPC or CCS-P certification required.
• Experience with offshore vendor coding is a plus.

Responsibilities

• Review medical record documentation to identify correct coding based on billing and payor guidelines.
• Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.
• Retrieve missing patient documentation required for accurate billing.
• Work task queues within various systems.
• Support offshore vendor coding questions.
• Recommend vendor education based on tasks reviewed.

Skills

Medical coding experience

Attention to detail

Education

CPC or CCS-P certification

Tools

Excel

Job description

Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.

PRIMARY RESPONSIBILITIES

• Review medical record documentation to identify correct coding based on billing and payor guidelines.
• Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.
• Retrieve missing patient documentation required for accurate billing.
• Work task queues within various systems.
• Support offshore vendor coding questions.
• Recommend vendor education based on tasks reviewed.

REQUIRED QUALIFICATIONS

• Minimum of 2 years’ professional medical coding experience.
• CPC or CCS-P certification.

DESIRED/PREFERRED QUALIFICATIONS

• Insurance billing knowledge
• Excel
• Knowledge of CMS guidelines

Total Rewards

• Generous benefits package, including:
• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities