Certified Medical Coding Auditor

Job Summary

A company is looking for a Medical Coding Auditor, SIU.

Key Responsibilities

• Develop and maintain expertise in CPT, HCPCS, and ICD-10 Coding guidelines
• Perform audits of medical records or claims to determine accuracy of submissions
• Create reports and guides for team members to communicate findings effectively

Required Qualifications

• 1+ years of coding or auditing experience across multiple specialties
• Bachelor's degree or 4+ years of work experience
• Certified Professional Coder (CPC) designation or similar certification (required for SIU)
• Knowledge of applicable fraud statutes and regulations
• Experience working in health insurance with claims processing or billing