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BASF

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Medical Coding Auditor – Outpatient

AuditorAuditorOtherRemoteSeniorTeam 10,001+Since 1865H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

174 days ago

Salary

$61.3K - $71K / year

Seniority

Senior

High School3 yrs expEnglish

Job Description

Medical Coding Auditor – Outpatient

BASF

• Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes. • Ensure that coding practices comply with federal, state, and payer-specific regulations and guidelines, including HIPAA and CMS standards. • Detect discrepancies and coding errors, provide feedback, and collaborate with coding staff to correct inaccuracies in medical documentation. • Provide training and support to coding staff on best practices, coding updates, and compliance standards. • Prepare detailed audit reports that highlight findings, trends, and areas for improvement. • Work closely with medical billing, compliance, and clinical teams to ensure that coding supports accurate billing and reimbursement processes.

Job Requirements

  • High school diploma or equivalent GED required.
  • Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred.
  • Active certification is required.
  • Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) are preferred, while CPC-H, CPC-P, RHIA, RHIT, or CCS-P are all generally accepted as well.
  • At least three (3) years of direct experience in coding/auditing applicable services, and medical chart review for all provider/claim types.
  • Coding for emergency care, observation, and same day surgery is preferred.
  • Prior auditing experience desirable in either a provider setting, or payer experience in claim processing, edit development, and/or coding and reimbursement policy a plus.

Benefits

  • medical
  • dental
  • vision
  • HSA/FSA options
  • life insurance coverage
  • 401(k) savings plans
  • family/parental leave
  • paid holidays
  • paid time off annually

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