Senior Compliance Coding Auditor

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

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OneStat International B.V.

WebsiteLinkedInAll Job Openings

2 - 10 employees

☁️ SaaS

🤝 B2B

SaaS • B2B

OneStat International B. V. is a technology company classified on LinkedIn under 'Technology, Information and Internet. ' Public information provided is limited; the company likely offers internet-delivered technology or information services (software or data services) to other organizations or users.

📋 Description

• Conduct billing and coding audits • Conduct prospective and retrospective chart reviews comparing medical record notes to reported CPT/HCPCS and ICD codes • Identify coding discrepancies and formulate suggestions for improvement • Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas • Provide continuing education to providers and ancillary staff on CPT/HCPCS and ICD-9/10 coding • Support compliance policies with government (Medicare & Medicaid) and private payer regulations • Work closely with all departments to assist in accuracy of reported services and with chart reviews • Advise Compliance Officer of government coding and billing guidelines and regulatory updates

🎯 Requirements

• High School Diploma or equivalent with 5 years of experience • Certified Professional Coder (CPC®) through AAPC OR Certified Coding Specialist (CCS®) through AHIMA required • 5 years experience in a medical office or medical environment • 5 years experience in procedural and diagnostic coding • Extensive knowledge of current trends in the industry based on Medicare and Texas Medicaid as well as national coding updates • Extensive knowledge of Centers for Medicare & Medicaid (CMS) regulations • Proficiency in correct application of CPT, HCPCS procedure and ICD-10-CM diagnosis codes used for coding and billing for medical claims • High knowledge of medical terminology, disease processes and pharmacology • Strong attention to detail and accuracy

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements • Professional development opportunities