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11 дней назад

Coding Auditor (Remote)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Coding Auditor (Remote) (Medical Coding and Compliance): Performing inpatient and outpatient coding audits across multiple specialties, preparing audit reports, and presenting findings with an accent on documentation accuracy, coding compliance, and payer-specific guidelines. Focus on analyzing physician documentation, trending audit results, educating providers, and protecting patient health information under HIPAA.

Location: Remote within the United States; associated with Parsippany-Troy Hills, New Jersey

Company

hirify.global provides medical coding, auditing, compliance, and healthcare documentation services.

What you will do

  • Perform inpatient, outpatient, provider, compliance, and specialty-specific coding audits.
  • Prepare, analyze, trend, and present audit findings to internal and external stakeholders.
  • Apply E&M, surgery, CCI, CPT, HCPCS, payer, specialty association, and coverage determination guidelines.
  • Evaluate physician documentation supporting selected codes, including medical necessity and split/shared services.
  • Provide physician education based on audit findings, edits, and denial trends.
  • Protect patient information and comply with HIPAA and information security policies.

Requirements

  • High school diploma or equivalent.
  • CPC or CCS certification from AHIMA or AAPC required.
  • At least five years of coding experience and two years of auditing experience in a multi-specialty setting.
  • Proficiency with job-related software and Microsoft Office Suite.
  • Strong written and verbal communication, interpersonal, analytical, problem-solving, and decision-making skills.
  • Ability to work independently, collaborate with others, handle stress, and use a smartphone or electronic device for multifactor authentication.

Culture & Benefits

  • Remote work arrangement with virtual collaboration.
  • Work involves primarily computer-based activities in a low-noise environment.
  • Professional conduct, integrity, dependability, and timely results are expected.
  • Access to protected health information is limited to the minimum necessary for assigned duties.

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