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Medical Coding Auditing Manager

Strategic Employment
Western, IL Full Time
POSTED ON 2/10/2025
AVAILABLE BEFORE 5/5/2025

Medical Coding Auditing Manager

A leading national healthcare practice, committed to making a difference in the lives of many, is seeking an experienced Medical Coding Auditing Manager to lead their audit functions and ensure compliance with all relevant healthcare regulations. This is a fully remote position with a consistent Monday-Friday schedule (occasional overtime).

Responsibilities :

  • Lead and manage a team of healthcare auditors.
  • Conduct audits of clinical and operational processes, focusing on billing, coding, and regulatory compliance.
  • Identify risks, discrepancies, and areas for process improvement.
  • Analyze data and provide actionable insights.
  • Develop and implement audit strategies.
  • Prepare audit reports and present findings.
  • Collaborate with other departments to resolve audit issues.
  • Stay up-to-date on healthcare regulations.
  • Monitor performance metrics.
  • Provide training and guidance to staff.

Qualifications :

  • Bachelor’s degree in healthcare administration, accounting, business, or a related field.
  • Current coding certification (CPC, CCS, CCS-P, RHIT, RHIA, or similar).
  • 5 years of experience in healthcare auditing or compliance.
  • Strong understanding of healthcare regulations (HIPAA, CMS, coding standards).
  • Experience with healthcare billing, coding, and payer reimbursement.
  • Experience working in a hospital or healthcare system.
  • Proven ability to analyze data and present findings.
  • Strong leadership and team management skills.
  • Detail-oriented with excellent organizational skills.
  • Proficiency with auditing software and Microsoft Office Suite.
  • Preferred Qualifications :

  • Experience with EPIC and Athena.
  • Familiarity with risk management practices.
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