CPC Certified Coding Auditor

Job Summary

A company is looking for a Coding and Compliance Auditor.

Key Responsibilities:

• Conducts operational and financial audits of provider claims to identify overpayments and resolve root cause issues
• Adjusts claim payments and adjudicates claims according to established guidelines
• Identifies potential recovery projects and reports findings to management

Required Qualifications:

• Bachelor's Degree or equivalent combination of education and experience
• 5 or more years of experience in the healthcare industry, including at least 3 years in medical billing and coding
• Claim audit experience is preferred
• CPC or CCS certification is preferred
• Successful completion of pre-employment background check