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Auditor Coding Specialist

MercyOne

Full-time, 80 hours biweekly, 100% remote position supporting professional billing coding and auditing activities.

The role is responsible for reviewing patient medical records retrospectively and concurrently to ensure accurate coding and sequencing of diagnoses and procedures for reimbursement. The specialist also supports billers with coding questions, assists with insurance denials, and recommends process improvements related to registration and charge posting.

Work must be performed in compliance with federal and state regulations, insurance industry rules, and hospital corporate compliance policies.

Requirements & Qualifications

Required

  • High school diploma or GED
  • Coding certification
  • Minimum of two years of current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations
  • Knowledge of anatomy and physiology
  • Knowledge of medical terminology
  • Working knowledge of computer information systems
  • Ability to work independently and make appropriate decisions with limited supervision
  • Strong written, verbal, and nonverbal communication skills

Preferred

  • One to two years of post-high school education
  • Knowledge of physician EM coding

Additional requirements

  • Proof of completion of Mandatory Reporter abuse training specific to the population served within three months of hire

Location

Des Moines, Iowa, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

3 weeks ago

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