Senior Medical Auditor

🕒 August 11

❄️ Minnesota – Remote

infoinfo

💵 $83.6k - $115k / year

⏰ Full Time

🟠 Senior

🔎 Auditor

👻 Ghost score 14%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Solventum

Solventum

10,000+ employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

Solventum is a healthcare-focused company renowned for its innovative solutions aimed at improving medical and oral care outcomes. The company offers a variety of medical technologies, including advanced wound care, surgical solutions, and sterilization products. Solventum also provides advanced oral care solutions, health information and technology services, and purification and filtration products for biopharmaceutical applications. Furthermore, Solventum places a strong emphasis on sustainability and education, providing resources and training for healthcare professionals globally. Their commitment to innovation and better healthcare has made them a leader in the healthcare industry, dedicated to enhancing patient safety and healthcare efficiencies.

📋 Description

• Perform monthly and quarterly professional-fee and/or facility E/M, surgery, and IR/VIR coding audits for clients • Conduct retrospective audits on vendor coders and individual clients for quality assurance • Conduct educational sessions for vendors and clients based on audit results • Ensure vendor and client compliance with official coding guidelines • Create audit reports and summaries for clients according to policies and procedures • Create and maintain auditing schedules • Support and educate the internal coding team • Maintain strict HIPAA compliance and follow state and federal guidelines for release of information

🎯 Requirements

• Bachelor’s Degree or higher from an accredited university and four (4) years of combined experience with professional fee/facility auditing and/or ICD coding and/or CPT/HCPCS; OR High School Diploma/GED from an accredited institution and eight (8) years of combined experience in lieu of the bachelor’s degree requirement • Three years of combined experience with professional fee/facility auditing and/or coding in ICD-10-CM, PCS, and CPT/HCPCS • AAPC and/or AHIMA certification, such as CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, or CIRCC • One year of ICD-10 training and proficiency • Excellent customer service and customer relations skills • Professionalism, flexibility, dependability, desire to learn, commitment to excellence, and commitment to the profession • Current working knowledge of CPT, PCS, and ICD-10 coding principles and government regulations and policies • Working knowledge of Microsoft applications, including Excel, Teams, and Word • Strong attention to detail and ability to work under time restraints • Ability to plan, organize, and prioritize job duties under general supervision • Must be legally authorized to work in the country of employment without employment visa sponsorship

🏖️ Benefits

• Variable incentive pay, if eligible • Medical, Dental & Vision • Health Savings Accounts • Health Care & Dependent Care Flexible Spending Accounts • Disability Benefits • Life Insurance • Voluntary Benefits • Paid Absences • Retirement Benefits • Company-paid travel arrangements and related expenses for on-site onboarding

Apply Now

Similar Jobs

🕒 August 11

EXL

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

Phone Auditor completing Property & Casualty insurance audits for EXL Premium Audit. Reviewing payroll and accounting records, classifications, and exposure amounts remotely by phone.

🇺🇸 United States – Remote

💵 $45k - $55k / year

💰 $2M Venture Round on 2015-01

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🕒 August 11

Machinify

1001 - 5000

🏥 Healthcare

💼 Consulting

📦 Logistics

Medical Review Nurse auditing government healthcare claims for Machinify’s AI-powered healthcare intelligence platform. Reviewing inpatient and outpatient records, documenting findings, and supporting appeals and medical policy improvements.

🕒 August 11

Prisma Health

10,000+ employees

🏥 Healthcare

Professional billing coding auditor improving coding accuracy for Prisma Health, a healthcare provider. Reviewing medical coding, preventing denials, and training coders on compliance and process improvement.

🕒 August 9

Examination Resources, LLC

51 - 200

💼 Consulting

🛡️ Insurance

🏛️ Government

Senior compliance examiner auditing Medical Loss Ratio calculations and rebate distributions for U.S. health insurers. Reviewing claims, premiums, QIA expenses, PBM contracts, and regulatory compliance.

🕒 August 7

Machinify

1001 - 5000

🏥 Healthcare

💼 Consulting

📦 Logistics

Medical Review Nurse auditing skilled nursing facility claims for Machinify’s AI-powered healthcare intelligence platform. Documenting findings, supporting appeals, and improving medical policies and audit workflows.