Medical Billing Auditor

Job Summary

A company is looking for a Medical Billing Auditor to join their team.

Key Responsibilities:

• Review medical facility and professional claims for accuracy and compliance with industry laws and contractual language
• Audit charges for CPT coding and compliance with state and federal regulations
• Review medical records to verify accurate coding

Required Qualifications:

• Minimum 2 years Claims Coding or Medical Billing experience
• Knowledge and understanding of CMS-1500 and UB-04 Medical Claim Forms
• Medicare Reimbursement / Denial experience preferred
• AAPC Certification and ICD-10 Proficient is required
• Prior experience in the Self-Funded Industry is desired