Certified Coding Auditor

Job Summary

To optimize the revenue cycle, the full-time remote Certified Coding Auditor will ensure accurate and timely reimbursement by proactively resolving medical coding claim defects and providing expert guidance on corrections to prevent future issues.

Key responsibilities

• Research and review coding-related claim denials to recover lost revenue and prevent future issues
• Address pre-billing resolution of coding defects to safeguard against reimbursement impacts
• Utilize a robust understanding of medical coding and reimbursement methodologies to enhance financial accuracy and efficiency

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 to meet deadlines with minimal supervision