Nevada Medical Coder & Auditor — Audits & Testimony

Dane Street, LLC; Nevada (IA); Vor Ort; USD 80.000 - 120.000; Vollzeit

Benefits dieser Stelle

Medical coverage

Dental coverage

Vision coverage

Voluntary life insurance

Short-term disability

Long-term disability

401k with company match

Apple equipment

Media stipend for remote workspace

Paid time off

Pet insurance options

Zusammenfassung

Dane Street, LLC seeks an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Nevada. The role supports legal deposition/testimony when needed and requires deep knowledge of medical necessity, documentation compliance, and payer audit defense.

Responsibilities include auditing ICD-10-CM, CPT, HCPCS, reviewing records for compliance, and preparing defensible audit reports. Nevada-based experience and strong documentation skills are essential.

Qualifikationen

• Must hold CPC certification through AAPC; CPMA preferred.
• Minimum 5 years of professional coding experience.
• At least 3 years of Nevada-based coding experience required.
• Strong knowledge of Nevada Medicaid billing guidelines and payer policies.
• Prior audit and utilization review experience required.
• Experience supporting legal cases, depositions or expert testimony preferred.
• Excellent written documentation and reporting skills.

Aufgaben

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS).
• Conduct utilization reviews to determine medical necessity and documentation compliance.
• Review and prepare demand packages and audit response materials.
• Analyze records for payer disputes and recoupments.
• Prepare written audit findings and defensible reports.
• Provide expert support for depositions and testimony as needed.
• Review E/M services under 2021+ guidelines.
• Interpret CMS, LCD/NCD, and payer-specific policies.
• Identify risk areas and compliance vulnerabilities.

Kenntnisse

CPC certification (AAPC)

CPMA preferred

5+ years coding experience

Nevada-based coding experience

Nevada Medicaid billing knowledge

Audit & utilization review

Deposition/testimony support

Documentation & reporting

Jobbeschreibung

Dane Street, LLC seeks an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Nevada. The role supports legal deposition/testimony when needed and requires deep knowledge of medical necessity, documentation compliance, and payer audit defense.

Responsibilities include auditing ICD-10-CM, CPT, HCPCS, reviewing records for compliance, and preparing defensible audit reports. Nevada-based experience and strong documentation skills are essential.