Full-time, benefit-eligible remote position responsible for conducting comprehensive documentation audits to validate the integrity of ICD-10-CM diagnoses, CPT, HCPCS, modifiers, and professional E/M codes.
The role reviews medical records and code assignments to validate consistency with applicable laws, regulations, coding standards, and billing standards. Audit results are analyzed to identify trends and patterns, and findings are communicated along with education to the appropriate audience.
This position also supports the manager in improving the overall quality and completeness of provider clinical documentation to ensure medical necessity, correct coding, compliance, and appropriate reimbursement. The role serves as a coding liaison with CRL providers, Business Office Operations, and other enterprise teams.
Bachelor’s degree or Associate of Applied Science degree in Healthcare Administration or a related field.
Medical coding credential required: CCS-P, CCS, or CPC.
RCC preferred.
CIRCC preferred.
Minimum 5 years of coding experience in radiology required; candidates without radiology coding experience will not be considered.
Working knowledge of documentation and coding compliance guidelines, including coding, billing, medical documentation, fraud, abuse, and penalties for violations.
Strong communication skills with the ability to work professionally with all levels of an organization.
Ability to maintain strict confidentiality regarding business operations, physicians, employees, patients, and customers.
Ability to manage multiple tasks and prioritize appropriately.
Experience with Windows and Microsoft Office applications, including Excel, Word, Outlook, and PowerPoint.
Experience with computer-aided coding software; 3M preferred.
Must be able to work successfully in a remote environment.
Must have a secluded, secure office area and reliable high-speed internet access.
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Tuition reimbursement
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 week ago