Washington Certified Medical Coding Auditor

Job Summary

A company is looking for a Medical Coding Auditor I.

Key Responsibilities

• Conduct detailed audits of medical claims and itemized bills for accuracy and compliance
• Validate diagnosis and procedure codes against medical documentation and payer policies
• Support cost containment initiatives and participate in internal quality assurance programs

Required Qualifications

• Current Certified Professional Coder certificate required
• 3-5 years of health plan experience
• 3+ years of medical code auditing experience
• 3+ years of experience with Microsoft Office applications and Adobe
• Experience with common coding and billing standards