Job Description
Professional Coding Auditor- Fertility & OB/GYN
Remote, Full Time or Part Time
Are you a gifted Professional Coding Auditor? Do you love to do provider and coder audits? This role may be the opportunity youve been looking for! Were actively seeking a talented Professional Fertility & OB/GYN Auditor with 5+ years of recent experience doing provider and coder audits and AAPC or AHIMA Certification, to join our dedicated team.
Duties
Review and analyze patient medical records to assign appropriate codes for diagnoses and procedures.
Utilize coding systems such as ICD-10, ICD-9, and DRG to ensure accurate billing and reimbursement.
Collaborate with healthcare providers to clarify documentation and ensure completeness of medical records.
Maintain up-to-date knowledge of coding regulations, guidelines, and best practices in medical billing and coding.
Process medical collections as necessary and assist in resolving any discrepancies in billing.
Ensure compliance with all relevant laws and regulations related to medical coding and billing practices.
Job Requirements:
To meet the needs of this role, we request candidates with the following qualifications apply:
Must have valid CPC or CCS-P coder certification through AAPC/AHIMA for a minimum of 7+ years.
A minimum of 5+ years of recent experience required doing provider and coder auditing of CPT, E&M, HCPCS and ICD-10-CM codes from medical records for multiple specialties.
Expertise and recent auditing/coding experience in fertility, ob/gyn, E/M clinic & clinic fertility procedures, E/M hospital & surgery/procedures.
Requires advanced technical knowledge in e/m clinic, e/m hospital, and e/m emergency auditing for multiple specialties.
Extensive knowledge of medical terminology.
Experience in researching and applying coding rules and regulations.
Must have experience with data entry of codes into a database and/or software tool.
Must be highly proficient with MS Office Word, and EMR (Electronic Medical Record) systems.
Requires expert level experience in MS Excel.
Must have excellent organizational skills and a high level of professionalism.
Experience with auditing software is highly preferred.
Report writing skills is a plus
Excellent oral and written communication skills.
Have a positive, respectful attitude.
Job Types: Full-time, Part-time
Pay: $26.00 - $30.00 per hour
Expected hours: No less than 20 per week
Benefits:
401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Application Question(s):
Do you have 5+ years of recent experience coding and/or auditing in fertility services, ob/gyn, E/M clinic & clinic fertility procedures, E/M hospital & surgery/procedures?
Do you have experience in 3-5 additional E/M or surgical specialties?
This is a professional coding position. Do you have recent experience as a professional fee coder or auditor?
Experience:
Microsoft Excel: 5 years (Required)
License/Certification:
Certified Professional Coder (Required)
CCSP (Required)
CPMA (Preferred)
Work Location: Remote
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