Medical Coding and Billing Auditor

Job Type: Full Time

Job Category: Medical Coding

Job Description

Job Title: Medical Coding and Billing Auditor

Job Summary:

We are looking for a detail-oriented and experienced Medical Coding and Billing Auditor to join our team. The primary responsibility of the auditor will be to ensure accurate and compliant coding and billing practices within the healthcare facility. The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as experience with conducting audits and providing feedback to improve billing processes.

Responsibilities and Duties:

• Conduct audits of medical coding and billing practices to ensure accuracy and compliance with regulations
• Review medical records and claims to identify coding errors or discrepancies
• Provide feedback and recommendations to coding and billing staff to improve processes and prevent future errors
• Stay up-to-date on coding guidelines and regulations to ensure compliance
• Collaborate with healthcare providers and staff to address issues and implement changes as needed
• Prepare reports and documentation of audit findings for management review

Qualifications and Skills:

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required
• Minimum of 3 years of experience in medical coding and billing
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems
• Experience with medical billing software and electronic health records (EHR)
• Excellent communication and problem-solving skills
• Attention to detail and ability to work independently
• Knowledge of healthcare compliance regulations

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Required Skills