CODING COMPLIANCE AUDITOR

W3R Consulting; Illinois; Sur place; USD 55 000 - 75 000; Plein temps

Résumé du poste

W3R Consulting is seeking a detail-oriented Medical Coder to accurately code provider claims, review itemized bills and medical records for facility and inpatient claims, and ensure compliance with CMS Coding Guidelines and ICD-10 guidelines.

Under supervision, you will audit documents, recommend coding corrections, and maintain documentation that supports coding procedures and standards. CPC/CCS/P/RHIA/RHIT certifications are preferred, with an Associate or Bachelor degree as a potential path.

Qualifications

• Associate Degree OR 2 years of experience in the health insurance industry.
• 2 years of medical coding through medical record abstraction.
• National coding certification from AAPC or AHIMA (CPC, CCS-P, RHIA, or RHIT) preferred.

Responsabilités

• Code claims for providers with accuracy and efficiency according to CMS and ICD-10 guidelines.
• Research itemized bills and medical records to validate coding and recommend corrections.
• Audit itemized bills/records to ensure compliance with coding procedures and standards.

Connaissances

Medical coding

Medical record abstraction

Analytical skills

Verbal & written communication

MS Office (Word, Excel, Outlook)

Formation

Associate Degree

Bachelor's degree

Outils

Microsoft Word

Microsoft Excel

Outlook

Description du poste

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.
• Coding Certification

PREFERRED JOB REQUIREMENTS

• Associate or Bachelor degree