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CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga
Coding Auditor
Location
United States
Posted
12 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Coding Auditor
CommonSpirit Health
Role Description As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity. - Meticulously research and review coding-related claim denials. - Provide expert guidance on corrections to prevent future issues and recover lost revenue. - Proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts. - Combine a robust understanding of medical coding and reimbursement methodologies. - Demonstrate exceptional analytical skills and meticulous attention to detail. - Exhibit a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency. As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories. Qualifications - High school diploma or equivalent. - Minimum of one (1) year of coding experience or two (2) years experience in any capacity in a health care environment or medical office setting. - Requires one of the following coding certifications from either the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA): - Certified Professional Coder (CPC) - Certified Coding Associate (CCA) - Certified Coding Specialist (CCS) - Certified Coding Specialist-Physician (CCS-P) - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Working knowledge of human anatomy and physiology, disease processes, and demonstrated knowledge of medical terminology. - Requires critical thinking and analytical skills, decisive judgment, and the ability to work with minimal supervision. - Applicants must be able to work under pressure to meet imposed deadlines and take appropriate actions. Requirements - Associate degree in related field (preferred). - Healthcare revenue cycle experience preferred.
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