Coding Compliance Auditor

VIVA; United States; À distance; USD 52 000 - 76 000; Plein temps

Résumé du poste

VIVA USA Inc is seeking a Remote Medical Coder to accurately code provider claims. Under supervision, you will research itemized bills and medical records for facility and inpatient claims, validating coding and ensuring compliance with CMS Coding Guidelines and ICD-10 guidelines.

Qualifications include an Associate degree or 2 years in health insurance, national coding certification (CPC, CCSP, RHIA, RHIT), and proficiency with Word, Excel and Outlook.

Qualifications

• Associate degree or 2 years of health insurance experience.
• 2 years medical coding through medical record abstraction.
• National coding certification from AAPC or AHIMA to include CPC/CCSP/RHIA/RHIT.
• Word, Excel and Outlook proficiency.
• Clear and concise verbal and written communication skills.
• Analytical skills.

Responsabilités

• Code provider claims accurately under supervision.
• Research and analyze itemized bills and medical records for facility and inpatient claims.
• Audit itemized bills and records to ensure CMS ICD10 coding guidelines compliance.

Connaissances

Medical coding

Analytical skills

Communication skills

Formation

Associate degree

Outils

Microsoft Word

Excel

Outlook

Description du poste

Remote in any state except NY, CA, HI or AK

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 (CCSP), 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;

Required Qualification(s)

Coding Certification

Notes:

• Contract to Hire
• Remote in any state except, NY, CA, HI or AK

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status