Remote Medical Coding Compliance Auditor (CPC/CCS-P/CPMA)

DaMar Staffing; South Carolina; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

PTO

401K with match

Continuing Education Allowance

Life Insurance

Disability insurance

Maternity/Paternity leave

Mental Health Day

Job summary

Crossroads Treatment Centers is seeking a skilled Medical Coding Compliance Auditor to join our team in South Carolina. You will conduct audits of provider and coder documentation to ensure correct ICD-10-CM, CPT, and HCPCS coding in line with current guidelines.

As part of the compliance team, you will develop corrective action plans, prepare monthly and quarterly reports, and educate staff on coding policies while maintaining up-to-date knowledge of federal regulations.

Qualifications

• Certified CPC, CCS-P or CPMA required.
• Minimum of 5 years of coding experience.
• Minimum of 2 years of auditing experience.
• Experience auditing healthcare documentation for ICD-10-CM, CPT, HCPCS codes.
• Knowledge of Mental Health or Addiction terminology preferred.
• Strong understanding of ICD-10-CM and CPT/HCPCS coding.

Responsibilities

• Audit claims and patient records to identify coding inaccuracies.
• Audit provider and coder documentation per current coding guidelines.
• Develop and coordinate corrective action plans.
• Track completion of internal and external corrective plans.
• Prepare reports of findings for executives and the Chief Compliance Officer.
• Attend team and cross-functional meetings to discuss coding and compliance.
• Provide training on medical coding compliance to staff.
• Stay current with CPT, HCPCS, ICD-10 regulations and federal rules.

Skills

Attention to detail

Organizational skills

Communication skills

Interpersonal skills

Education

High School diploma or GED

CPC/CCS-P/CPMA certification

Tools

MS Office

Job description

Crossroads Treatment Centers is seeking a skilled Medical Coding Compliance Auditor to join our team in South Carolina. You will conduct audits of provider and coder documentation to ensure correct ICD-10-CM, CPT, and HCPCS coding in line with current guidelines.

As part of the compliance team, you will develop corrective action plans, prepare monthly and quarterly reports, and educate staff on coding policies while maintaining up-to-date knowledge of federal regulations.