CODING COMPLIANCE AUDITOR

Pyramid Consulting; Chicago (IL); Remote; USD 48,000 - 55,000; Part time

Benefits offered by this job

Health insurance

401(k) plan

Paid sick leave

Job summary

Pyramid Consulting is seeking a Coding Compliance Auditor for a 6-month contract, remote in the US. The role focuses on accurate coding, auditing and ensuring compliance with CMS guidelines while supporting healthcare providers and facilities.

The ideal candidate holds an associate degree or 2 years in health insurance, plus national coding certification (CPC/CCS-P/RHIA/RHIT) and proficiency in Word/Excel/Outlook. Apply for a long-term opportunity with full benefits and professional growth.

Qualifications

• Associate degree or 2 years in health insurance.
• 2 years medical coding via medical record abstraction.
• National coding certification from AAPC or AHIMA (CPC/CCS-P/RHIA/RHIT).
• Proficient with Word, Excel and Outlook; strong written and verbal communication; analytical skills.

Responsibilities

• Accurate coding of claims by providers.
• Research and analyze itemized bills and medical records for facility and inpatient claims to validate coding.
• Audit itemized bills and medical records to ensure CMS Coding Guidelines and ICD10 guidelines compliance; recommend coding corrections.

Skills

Medical coding

Medical record abstraction

Analytical skills

Verbal and written communication

Education

Associate degree

AAPC/AHIMA coding certification (CPC/CCS-P/RHIA/RHIT)

Tools

Microsoft Word

Excel

Outlook

Job description

Coding Compliance Auditor

Immediate need for a talented Coding Compliance Auditor. This is a 06 Months Contract opportunity with long-term potential and is located in US (Remote).

Job ID:26-28929 Pay Range: $35 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• This position is responsible for the accurate coding of claims by providers.
• Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding.
• This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to the CMS Coding Guidelines and Official ICD10 Coding Guidelines and recommends coding corrections.

Key Requirements and Technology Experience:

• Associate degree OR 2 years of experience working in the health insurance industry;
• 2 years medical coding through medical record abstraction.
• National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT);
• PC experience and skills to include Microsoft Word, Excel and outlook; Clear and concise verbal and written communication skills; Analytical skills.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.