Coding Compliance Audit Specialist

Location: Remote
Compensation: Salary
Staff Reviewed: Thu, Sep 26, 2024
This job expires in: 19 days

Job Summary

A company is looking for a Coding Compliance Audit Specialist to conduct audits and ensure compliance with coding regulations.

Key Responsibilities
  • Conduct audits comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes
  • Research and communicate federal and state laws and guidelines related to CMS and Medicare
  • Prepare audit reports summarizing findings and recommendations

Required Qualifications
  • 5+ years of audit experience preferred
  • Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines
  • Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required
  • Experience with MDAudit and Athena is a plus
  • Must comply with all HIPAA rules and regulations

COMPLETE JOB DESCRIPTION

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