Certified Medical Coding Auditor

Job Summary

A company is looking for a Medical Coding Auditor to evaluate the accuracy of medical claims and ensure compliance with coding standards.

Key Responsibilities:

• Perform clinical reviews of CPT, HCPCS, and modifiers on claims
• Determine accuracy of medical coding and payment recommendations for claims
• Identify aberrant billing patterns and ensure adherence to compliance policies

Required Qualifications:

• High School Diploma/GED or higher
• Certified Coder (AHIMA or AAPC)
• 2+ years of experience as a certified coder
• 2+ years of experience in CPT/HCPCS/Modifiers coding
• 1+ years of experience in the health insurance business