Remote Medical Coding & Compliance Auditor

Cardinal Health; Carson City (NV); Remoto; USD 80.000 - 105.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Short- and long-term disability

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Descrizione del lavoro

Cardinal Health is seeking a Compliance Auditor to conduct coding, documentation audits and reviews focused on Medical Oncology, Radiation Oncology, and Urology services. You will analyze trends, identify risks, and deliver actionable recommendations to improve compliance and reimbursement accuracy.

The role requires advanced knowledge of CPT, HCPCS, ICD-10-CM, and payer policies, with a collaborative approach to educate physicians, coders, and clinical staff.

Competenze

• Coding certification from an accredited source (AAPC, AHIMA, etc.)
• 4-8 years of experience, preferred
• Undergraduate degree, preferred

Mansioni

• Conduct coding, billing, and documentation audits to identify compliance, coding, and reimbursement risks.
• Review medical records and claims to ensure compliance with regulatory, payer, and organizational requirements.
• Analyze audit findings, identify trends and opportunities for improvement, and recommend corrective actions.
• Prepare audit reports and communicate findings to leadership, providers, coders, and operational stakeholders.
• Provide education and guidance to physicians, coders, and staff on coding, documentation, compliance requirements, and industry best practices.
• Research coding and documentation questions to support accurate code assignment and reimbursement.
• Assign and validate ICD-10-CM, CPT, HCPCS, and modifier usage for professional and facility services as applicable.
• Coordinate responses to external audit and medical record requests and ensure timely submission of required documentation.
• Maintain current knowledge of coding guidelines, payer policies, and healthcare regulations impacting Medical Oncology, Radiation Oncology, and Urology services.
• Collaborate with Compliance, Revenue Cycle, Coding, Clinical, and Operational teams on monitoring activities and compliance initiatives.
• Perform other duties as assigned.

Conoscenze

Coding certification

Formazione

Undergraduate degree

Descrizione del lavoro

Cardinal Health is seeking a Compliance Auditor to conduct coding, documentation audits and reviews focused on Medical Oncology, Radiation Oncology, and Urology services. You will analyze trends, identify risks, and deliver actionable recommendations to improve compliance and reimbursement accuracy.

The role requires advanced knowledge of CPT, HCPCS, ICD-10-CM, and payer policies, with a collaborative approach to educate physicians, coders, and clinical staff.