Senior Medical Coding Auditor (TX) - Compliance & Audit

Virtual Vocations Inc; United States; Presencial; USD 85.000 - 110.000; Jornada completa

Descripción de la vacante

Virtual Vocations Inc is seeking a Texas Licensed Senior Medical Coding Auditor to perform comprehensive reviews of coding, documentation, billing, and operational processes. The role requires coordination with multiple departments to resolve issues identified during audits.

We value extensive experience in professional fee coding and auditing, current coding credentials, and deep knowledge of CPT, HCPCS, ICD-10-CM, and reimbursement rules.

Formación

• Minimum 7 years of professional fee coding and coding audits experience.
• Current professional coding certification and auditing credential.
• Strong knowledge of CPT, HCPCS, ICD-10-CM and reimbursement requirements.
• Experience with coding and billing systems, electronic medical records, and operational workflows.

Responsabilidades

• Performs complex reviews and investigations related to coding, documentation, billing, and operational processes.
• Conducts audits, medical record reviews, and data validations to determine findings and communicate them to stakeholders.
• Tracks corrective actions and ensures effective resolution of identified issues through collaboration with cross-functional teams.

Conocimientos

Texas license

Medical coding

Auditing

CPT knowledge

HCPCS knowledge

ICD-10-CM knowledge

Reimbursement knowledge

Educación

High school diploma or equivalent

Bachelor's degree in related field preferred

Descripción del empleo

Virtual Vocations Inc is seeking a Texas Licensed Senior Medical Coding Auditor to perform comprehensive reviews of coding, documentation, billing, and operational processes. The role requires coordination with multiple departments to resolve issues identified during audits.

We value extensive experience in professional fee coding and auditing, current coding credentials, and deep knowledge of CPT, HCPCS, ICD-10-CM, and reimbursement rules.