Telecommute Outpatient Medical Coding Auditor

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Wed, Apr 24, 2019

This job expires in 3 days

Job Category: Healthcare, Medical Coding, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A financial services company has an open position for a Telecommute Outpatient Medical Coding Auditor.

Core Responsibilities of this position include:

  • Timely reviewing and dispositioning of suspected case referrals
  • Conducting review of flagged claims and Fraud Waster & Abuse (FWA) referrals
  • Objectively and accurately conducting coding reviews on medical records

Skills and Requirements Include:

  • Reimbursement policy and/or claims software analyst experience
  • Proficient in the use of MCS 1500/UB 04 forms
  • Possess knowledge of CMS rules and regulations
  • Thorough working knowledge of CPT/HCPCs/ICD-9/ICD-10, MS-DRG coding
  • Working knowledge of encoder
  • Familiarity with interpreting electronic medical records (EHR)