Healthcare Coding Compliance Auditor

W3R Consulting; Illinois; On-site; USD 55,000 - 75,000; Full time

Job summary

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.

Responsibilities

• 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.

Skills

Medical coding

Medical record abstraction

Analytical skills

Verbal & written communication

MS Office (Word, Excel, Outlook)

Education

Associate Degree

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Outlook

Job description

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.