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Medical Coding Auditor

Senior PsychCare
Houston, TX Full Time
POSTED ON 1/27/2025
AVAILABLE BEFORE 2/26/2025

Medical Coding Auditor - Houston, TX

Senior PsychCare is looking for a Medical Coding Auditor with at least 2 years of experience in mental health coding to join our Compliance Team in Houston.

About Us:
Senior PsychCare provides comprehensive behavioral health services to long-term care patients at their facilities. Our services include therapy, diagnostic evaluation, and collaborative care between therapy and psychiatric teams.

Job Overview:
As a Medical Coding Auditor, you will ensure the accuracy of medical coding and compliance with industry guidelines. This role involves reviewing medical records, auditing coding, and supporting billing processes.

Key Responsibilities:

  • Audit medical records for accurate coding of diagnoses and procedures (ICD-10, CPT, HCPCS).
  • Ensure compliance with federal, state, and payer-specific regulations (e.g., HIPAA, CMS).
  • Identify coding errors and collaborate with staff to correct inaccuracies.
  • Provide training on coding best practices and updates.
  • Assist in developing and updating coding policies.
  • Work closely with billing, compliance, and clinical teams.
  • Stay updated on coding changes and trends.

Skills & Qualifications:

  • Knowledge of ICD-10, CPT, and HCPCS coding.
  • Familiarity with healthcare regulations, including HIPAA and CMS.
  • Strong attention to detail and problem-solving skills.
  • Experience with coding software and electronic health record (EHR) systems.
  • Effective communication and teamwork skills.
  • High school diploma or GED required.
  • Active certification required. Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) are preferred, while CPC-H, CPC-P, RHIA, RHIT, or CCS-P are all generally accepted as well. Other Medical Coding certifications may also qualify.
  • At least 2 years of experience in medical coding/auditing.
  • Mental health and outpatient E/M coding experience is a plus.

Benefits:

  • Paid Time Off and Holidays
  • Medical, Dental, Vision, 401k, and more
  • Monday-Friday, 8am-5pm schedule (No weekends)

This is a full-time, in-person position. Apply now!

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