Medical Coding Auditor

We are looking for a skilled Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract to permanent position, you will play a vital role in ensuring the accuracy and compliance of medical coding and abstracting processes. This role offers an excellent opportunity to contribute to healthcare excellence while advancing your expertise in a collaborative environment.

Responsibilities:

• Conduct routine and specialized audits of inpatient and outpatient medical accounts to evaluate coding accuracy and compliance.

• Provide constructive feedback to coding staff based on audit results and address any discrepancies identified.

• Collaborate with coding education coordinators and managers to deliver training sessions tailored to audit findings.

• Respond to coder inquiries and review specific cases to ensure proper code assignments.

• Develop detailed audit reports and maintain accurate audit result records.

• Review and submit well-informed opinions on government and third-party auditor denials, providing necessary documentation and responses.

• Assist with coding tasks as needed to minimize unbilled accounts and improve revenue cycle efficiency.

• Research and correct coding errors, providing insights to improve processes and compliance.

• Communicate audit findings effectively to stakeholders, including Administration, Revenue Cycle, and Quality Management teams.

• Participate in educational sessions, training programs, and task force meetings to stay updated on coding standards and practices.

Job Location Requirement – Remote with Residency in Ohio, Kentucky, or Indiana

This is a fully remote position; however, candidates must reside in Ohio, Kentucky, or Indiana to be eligible for consideration.

• High school diploma or equivalent; additional certifications in medical coding are preferred.

• A minimum of five years of experience in medical coding or related auditing roles.

• Proficiency in ICD-10 and CPT coding standards.

• Must be a CPC

• Strong knowledge of outpatient and inpatient coding practices.

• Excellent attention to detail and analytical skills to identify and resolve coding discrepancies.

• Effective communication skills for providing feedback and collaborating with team members.

• Ability to manage multiple tasks and meet deadlines in a fast-paced healthcare environment.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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