Texas Licensed Senior Medical Coding Auditor

Virtual Vocations Inc; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Texas license

Medical coding

Auditing

CPT knowledge

HCPCS knowledge

ICD-10-CM knowledge

Reimbursement knowledge

Education

High school diploma or equivalent

Bachelor's degree in related field preferred

Job description

To support the Revenue Cycle Department, the full-time Texas Licensed Senior Medical Coding Auditor will conduct comprehensive reviews and investigations involving coding, documentation, billing, and operational processes while collaborating with various departments to resolve identified issues.

Key responsibilities

• 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

Required qualifications

• High school diploma or equivalent required; four-year degree in a related field preferred
• Minimum of seven years of relevant experience in professional fee coding and coding audits required
• Current professional coding certification and auditing credential required
• Strong knowledge of CPT, HCPCS, ICD-10-CM, and reimbursement requirements essential
• Experience with coding and billing systems, electronic medical records, and operational workflows required