Coding Compliance Auditor

W3R Consulting; Chicago, Northern (IL, KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

W3R Consulting seeks a Medical Coder in Chicago to ensure accurate coding of provider claims under CMS and ICD-10 guidelines. Under supervision, you will research itemized bills and medical records for facility and inpatient claims, and recommend coding corrections.

The ideal candidate has an Associate degree or 2+ years in health insurance, and holds a national coding certification (CPC, CCS-P, RHIA, or RHIT). Strong communication and analytical skills are required.

Qualifications

• Associate degree or 2 years in health insurance industry.
• 2 years medical coding via medical record abstraction.
• National coding certification (CPC, CCS-P, RHIA, RHIT)

Responsibilities

• Code claims accurately under supervision.
• Review itemized bills and records for facility and inpatient claims.
• Audit coding for CMS and ICD-10 guideline compliance.

Skills

Medical coding

Medical record abstraction

CMS Guidelines

ICD-10 Coding

MS Word

MS Excel

Outlook

Analytical skills

Verbal/written communication

Education

Associate Degree

Bachelor's degree

Tools

Microsoft Word

Excel

Outlook

Job description

BASIC FUNCTION

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.

JOB REQUIREMENTS

• 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.

PREFERRED JOB REQUIREMENTS

• Associate or Bachelor degree;