Certified Coding Auditor

Job Summary

To optimize revenue cycle efficiency, the remote Certified Coding Auditor will ensure accurate and timely reimbursement by resolving medical coding claim defects, reviewing coding-related claim denials, and providing expert guidance on corrections to recover lost revenue.

Key responsibilities

• Research and review coding-related claim denials to prevent future issues
• Proactively address pre-billing resolution of coding defects to safeguard reimbursement
• Utilize analytical skills to maximize financial accuracy and efficiency in coding practices

Required qualifications

• High school diploma or equivalent
• Minimum of one year of coding experience or two years in a healthcare environment
• Certification from AAPC or AHIMA (e.g., CPC, CCA, CCS, CCS-P, RHIT, RHIA)
• Working knowledge of human anatomy, physiology, and medical terminology
• Ability to work under pressure and meet deadlines with minimal supervision