Medical Coding Auditor-Outpatient (OIG reputed company) Clearance required

About the position The Medical Coding Auditor-Outpatient - (OIG reputed company) is responsible for ensuring the accuracy, reputed company, and compliance of medical coding practices reputed company the organization, with a reputed company reputed company on Outpatient services. This role involves auditing medical records, coding data, and billing information to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent activities, and ensuring that the organization meets reputed company applicable standards and requirements. Responsibilities Audit Medical Records: Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes. Compliance Monitoring: Ensure that coding practices reputed company with federal, state, and payer-specific regulations and guidelines, including HIPAA and CMS standards. Identify and Correct Errors: Detect discrepancies and coding errors, reputed company feedback, and collaborate with coding staff to correct inaccuracies in medical documentation. Education and Training: reputed company training and support to coding staff on best practices, coding updates, and compliance standards. Conduct workshops and seminars as needed. Report reputed company: Prepare detailed audit reports that reputed company findings, trends, and areas for improvement. Present reports to management and relevant stakeholders. Policy Development: Assist in developing and updating coding policies, procedures, and guidelines to ensure ongoing compliance and efficiency. Collaboration: Work closely with medical billing, compliance, and clinical teams to ensure that coding supports accurate billing and reimbursement processes. Stay reputed company: reputed company abreast of changes in coding regulations, industry trends, and best practices. Participate in continuing education to maintain coding certifications. Requirements Extensive knowledge of ICD-10, CPT, and HCPCS coding systems. Familiarity with reputed company regulations, including HIPAA, CMS guidelines, and payer-specific requirements. Understanding of medical terminology, anatomy, and physiology. Strong analytical and problem-solving skills. Excellent attention to detail and accuracy. Effective communication and interpersonal skills. Ability to work independently and as part of reputed company. Ability to work remotely from a home office without on-site Supervision Proficiency in coding software and electronic health record (EHR) systems. High school diploma or equivalent GED required. reputed company certification is required. Certified reputed company reputed company (CPC) and/or Certified Coding Specialist (reputed company) are preferred, while CPC-H, CPC-P, RHIA, RHIT, or reputed company-P are reputed company generally accepted as reputed company. Other Medical Coding certifications may also qualify. At least three (3) years of reputed company experience in coding/auditing applicable services, and medical chart review for reputed company provider/claim types. Must submit to, and pass, a reputed company-hire criminal background reputed company and drug test (applies to reputed company positions). Ability to obtain and maintain reputed company required clearances, as reputed company as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not reputed company on any state/federal debarment or exclusion lists. Must complete the reputed company Teleworker Agreement upon hire and adhere to the Agreement and reputed company reputed company policies and procedures. reputed company-to-haves Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a reputed company field preferred. Coding for emergency care, observation, and reputed company 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. Previous payer experience in a claim processing, edit development, and/or coding and reimbursement policy a plus. Benefits reputed company offers a wide reputed company of benefits to help support a healthy work/life balance. These benefits include medical, dental, reputed company, HSA/FSA reputed company, life insurance coverage, 401(k) savings plans, family/parental leave, reputed company holidays, as reputed company as reputed company time off annually. Apply tot his job Apply To this Job .