Certified Coding Auditor

Job Summary

Providing expertise in medical coding analysis, the full-time remote Certified Coding Auditor will conduct coding audits of claims, ensure billing accuracy, and collaborate with revenue cycle teams to address denied claims.

Key Responsibilities

• Conducts coding audits of submitted claims to verify the appropriateness of procedure and diagnosis codes
• Reviews billing for accuracy to ensure compliance with proper coding procedures and maximize reimbursement
• Coordinates with revenue cycle teams to investigate and resolve rejected or denied claims through collaboration

Required Qualifications

• Associates or Bachelor's Degree
• Current certification as a Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT)
• 5+ years of experience in orthopedic surgery billing and coding
• Strong background in analyzing claims and medical records for documentation accuracy
• Proficiency in Microsoft Office Suite, particularly Excel