Medical Coding Auditor

Advize; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

An innovative health care provider is looking for a detail-oriented Medical Coding Auditor to join their remote team. This full-time contract role involves verifying charges, reviewing claims, and generating audit reports. Ideal candidates will have a strong background in medical coding, particularly as a Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA). The position is perfect for those with experience in behavioral health and a passion for ensuring compliance in medical billing. Join a forward-thinking company that values accuracy and integrity in health care services, and make a significant impact in the industry while enjoying the flexibility of remote work.

Qualifications

• Minimum two years experience in medical coding and auditing.
• Must have behavioral health experience documented on resume.

Responsibilities

• Verify charges and review claims for medical coding accuracy.
• Generate preliminary audit results and create audit reports.

Skills

Medical Coding

Auditing

Behavioral Health

CPT/HCPCS Knowledge

NCD/LCD/LCA Experience

Education

Certified Professional Coder (CPC)

Certified Professional Medical Auditor (CPMA)

Job description

This is a contract remote role for a Medical Coding Auditor at Advize. The Medical Coding Auditor will be responsible for performing verification of charges, reviewing claims, generating preliminary audit results, collaborating with clients, and creating audit reports.

Responsibilities

We are seeking to fill additional roles on our medical record review team. Candidates must have the following documented background/experience. If your resume does not reflect the requirements below, we will not be able to consider you for the role:

This is a full-time role.

• Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) or similar (minimum of two years experience)
• This is ProFee auditing role. Those with extensive HCC experience will not be considered
• Reside in the US and have employment eligibility (we are not sponsoring for employment)
• Experience using NCD/LCD/LCA to make medical necessity determinations and documenting findings
• Knowledge of CPT/HCPCS as it relates to professional fee services
• Behavioral Health experience documented on your resume is mandatory
• Knowledge of Medicaid policies rules a plus

Job Types

Full-time, Contract, Temporary

Expected Hours

40 per week

Schedule

• 8 hour shift
• Day shift
• Monday to Friday

Experience

• Applied behavior analysis: 1 year (Required)

Work Location

Remote

Seniority Level

Entry level

Employment Type

Contract

Job Function

Health Care Provider

Industries

Hospitals and Health Care