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Medical Coding Auditor

VirtualVocations
Garland, Texas, United States
Full-time

A company is looking for a Medical Coding Auditor, SIU to support the assessment of trends and patterns in fraud, waste, and abuse across the healthcare industry.

Key ResponsibilitiesDevelop and maintain expertise on coding guidelines and insurance billing requirementsPerform audits of medical records or claims to determine accuracy of submitted claimsCreate reports and reference guides to communicate findings and improve team processesRequired Qualifications1+ years of coding or auditing experience across multiple specialtiesBachelor's degree or 4+ years of relevant work experienceCertified Professional Coder (CPC) designation or similar certificationKnowledge of fraud statutes and regulations related to healthcareExperience with HIPAA, data privacy, and data security processes

5 days ago
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