Coding Denials Auditor

📋 Description

• Conducts coding audits of submitted claims to determine appropriateness of procedure and diagnosis
• Reviews Billing for accuracy to ensure compliance of proper billing and coding procedures of
• Coordinates with revenue cycle teams to investigate rejected or denied claims to determine denial
• Effectively utilizes computer and appropriate software (Microsoft Office Suite) to produce
• Maintains knowledge regarding medical coding and/or healthcare market changes.
• Gather and analyze claims and medical records information pertinent to documentation findings and

🎯 Requirements

• Associates or Bachelor’s Degree
• Current certification in one of the following: Certified Professional Coder (CPC) or related
• The applicant must have a strong background in orthopedics and surgery billing/coding. The ideal
• Must be able to gather and analyze claims and medical records information pertinent to
• Must have strong written communication skills. This position requires the ability to draft
• Sound time management skills with the ability to manage workload independently