Lead Professional Fee Coding Auditor

Managed Resources
Long Beach, CA
Category Healthcare
Remote
Job Description
Role Overview

Lead Professional Fee Coding Auditor will audit medical records to determine accurate professional fee codes and complete formal audit reports. The role plays a critical part in strengthening internal operations by providing operational and technical leadership for professional fee audit activities.

What You Will Do

Perform multi-specialty provider and coder audits, accurately enter data into audit software, compose audit findings and recommendations comments, and communicate with audit team and clients.

Why It Might Be a Fit

The Lead Professional Fee Coding Auditor will have the opportunity to contribute ideas, influence change, and make a meaningful impact on the organization.

Requirements

  • Current AAPC or AHIMA credential (CPC or CCS-P)
  • Minimum 5 years' experience abstracting CPT, E&M, HCPCS, and ICD-10-CM codes from provider documentation
  • Minimum 5 years' experience performing professional fee formal audits
  • Minimum 1-2 years' recent experience as a Lead or performing similar duties
  • Advanced multispecialty coding knowledge in at least 10 medical and surgical specialties
  • Extensive knowledge of medical terminology
  • Experience in researching and applying coding rules and regulations
  • Data entry experience into a database and/or software tool
  • Proficiency in Microsoft Excel, Word, and EMR systems
  • Audit software experience (Audit Manager, Intellicode, and MDAudit)
  • Excellent oral and written communication skills
  • Positive, respectful attitude

Benefits

  • Medical, Dental, and Vision Insurance
  • Phone and Internet Stipend
  • Company-Paid Life Insurance
  • 401(k) Retirement Plan with Company Match
  • Paid Time Off
  • Seven Company-Observed Holidays
  • Two Floating Holidays for Personal Observance
  • Professional Development Opportunities
  • Employee Recognition Programs
  • Remote Work Environment
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