CPC Certified Medical Auditor

Job Summary

A company is looking for a Medical Auditor II in Revenue Cycle Management.

Key Responsibilities

• Conduct regular audits to verify accuracy of medical codes
• Review documentation to ensure appropriate code assignment and compliance
• Track and report coding errors while maintaining detailed records of audit findings

Required Qualifications

• 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings
• CPC certification through AAPC or CCS certification through AHIMA
• 3+ years of data analysis and formula creation experience in Microsoft Excel
• Advanced knowledge of HCC Risk Adjustment and coding guidelines
• Experience using data to drive process improvement