DME/Outpatient Medical Coding Auditor

Role Overview

• Handle provider disputes in a result-oriented and metrics-driven environment
• Ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality
• Consult and collaborate with coding professionals within and across departments
• Make coding decisions based on standard industry guidelines and best practices
• Manage multiple priorities, collaborate with peers and ensure timely completion of outpatient coding disputes

Requirements

• CPC or CCS Certification
• CPT/ HCPCS auditing experience
• 1+ years' work experience reading and interpreting claims
• 3+ years' experience performing DME coding audits in health insurance and/or hospital settings and working coding-related disputes and trending results
• Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
• Can work independently and determine appropriate course of action
• Excellent communication skills both written and verbal

Benefits

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities