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