BASF
Chemicals • Agriculture • Healthcare
BASF is a global chemical company that operates across multiple sectors, providing a wide range of products and solutions. The company is focused on innovation and sustainability, serving industries such as agriculture, automotive, construction, electronics, energy, and healthcare. With a commitment to research and development, BASF aims to create chemicals that enhance the quality of life and support sustainable practices worldwide.
10,000+ employees
Founded 1865
🌾 Agriculture
Medical Review Coding Appeals Auditor – Outpatient
Job not on LinkedIn
November 18
🇺🇸 United States – Remote
💵 $65k - $73k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🦅 H1B Visa Sponsor
BASF
Chemicals • Agriculture • Healthcare
BASF is a global chemical company that operates across multiple sectors, providing a wide range of products and solutions. The company is focused on innovation and sustainability, serving industries such as agriculture, automotive, construction, electronics, energy, and healthcare. With a commitment to research and development, BASF aims to create chemicals that enhance the quality of life and support sustainable practices worldwide.
10,000+ employees
Founded 1865
🌾 Agriculture
📋 Description
• Conduct Appeals reviews of new evidence presented by auditees • Document Appeals results in accordance with department quality policies and procedures • Perform limited volume of outpatient coding reviews on medical records • Monitor, track, and report on all work conducted in accordance with Appeals process • Contribute to the continuous improvement feedback process • Maintain current knowledge and changes that affect our industry and clients • Consult with internal resources as necessary
🎯 Requirements
• Current certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P • Must not be currently sanctioned or excluded from the Medicare program by OIG • 3+ years of direct experience in medical chart review for all provider/claim types for outpatient • 5+ years relevant auditing experience in a provider or payer environment • Prior experience in role with responsibility for conducting primary audit, utilization management or prior-authorization work • Familiarity with interpreting electronic medical records (EHR) • Strong knowledge of medical documentation requirements and understanding of CMS, Medicaid and/or Commercial insurance programs
🏖️ Benefits
• medical insurance • dental insurance • vision insurance • HSA/FSA options • life insurance • 401(k) savings plans • family/parental leave • paid holidays • paid time off annually
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