Coding Auditor - remote
The Reserves Network
- Reno, NV
- Contract
- Full-time
- PERM
- Remote
- Business hours Monday – Friday
- HOURLY PAY RATE based on skills and experience
- Minimum of 10 years of progressive responsibility and advanced experience in healthcare coding required
- 2+ years of auditing experience either in facility or professional services coding
- AAPC or AHIMA coding certification required
- Knowledge of required compliance criteria for all facility types required
- Expert knowledge of accurately assigning ICD-10-CM diagnostics and procedure codes
- Ability and knowledge of the appeals process to ensure accurate reimbursement
- Coordinate quality audits for coding staff and/or providers, including outside request for compliance and billing, including and not limited to RAC and/or other auditing programs requests
- Report audit results to Leadership, Compliance, and other Departmental Leadership when applicable
- Address appeals and review needed information for insurance denials to facilitate expedient resolution and reimbursement
- Participate in mandated Medical Record Review processes
- Interpret and apply American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses, and procedures
- Additional duties as defined in job description
- Partnership with experienced recruiters that will advise you on all aspects of your job search and career aspirations
- Our network has direct access to hiring managers and we will get your resume to the top of the pile of submissions for this opportunity and many more like this
- Long-term career partner who will provide you with market intelligence and guidance