Medical Coding Auditor

Job not on LinkedIn

September 26

🌶️ New Mexico – Remote

Although this job is listed in New Mexico, this company may be open to hiring remote in other states.

💵 $56.2k - $70.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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The University of New Mexico Health Sciences Center

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Healthcare • Education • Research

The University of New Mexico Health Sciences Center is the largest teaching hospital in New Mexico, focusing on delivering high-quality and accessible healthcare to all patients. It serves as the state's only Level 1 trauma center and provides a range of medical services, including cancer care, pediatrics, women's health, and behavioral health. UNM Health is dedicated to serving a diverse population, conducting impactful research, and enhancing patient outcomes through compassionate care.

5001 - 10000 employees

📚 Education

📋 Description

• Audits medical charts and records for compliance with federal coding regulations and guidelines • Reviews evaluation and management (E/M) codes, medical diagnoses and clinical procedures to ensure accurate medical billing • Trains, instructs and provides technical support to medical providers, support staff and medical coding personnel on documentation and coding standards • Collaborates with hospital compliance and coding staff to ensure consistent training for professional and facility services • Reviews, develops, and/or modifies procedures, systems and protocols to maintain compatibility with UNM Medical Group billing requirements and compliance standards • Assists management with development of the annual work plan and risk assessment • Evaluates external payer record requests for reconsideration, appeals and rebuttals • Provides follow-up audits when necessary and prepares reports and observations • Researches, analyzes and responds to internal and external inquiries regarding compliance, inappropriate coding, denials and billable services • Ensures strict confidentiality of medical and financial records • Attends coding conferences, workshops and in-house sessions to receive updated coding and auditing information and regulatory changes

🎯 Requirements

• High School diploma or GED with 5 years directly related experience • At least one of the following: CPC, CCs, CCS-P, COC, RHIA, RHIT, CHONC • Certification or certificate eligible for Certified Professional Medical Auditor (CPMA) • The UNM Medical Group Coding Auditor position requires the candidate to either hold a Certified Professional Medical Auditor (CPMA) designation at the time of hire, or to secure such designation within 18 months of hire • Completed degree from an accredited institution above the minimum education requirement may be substituted for experience on a year-for-year basis • Verification of education and licensure will be required if selected for hire • Extensive knowledge and experience with E/M coding • Must have a permanent address and live in New Mexico or be willing to relocate to New Mexico • Day shift availability; full-time 40 hours/week (less than 40 hours/week will be prorated)

🏖️ Benefits

• Competitive Salary & Benefits : UNMMG provides a competitive salary along with a comprehensive benefits package. • Insurance Coverage : Includes medical, dental, vision, and life insurance. • Tuition reimbursement • Generous paid time off • 403b retirement plan for eligible employees • $2,000 Sign-on Bonus • UNMMG will pay for study materials and the cost of one CPMA exam, through the UNMMG Compliance Department budget.