Medical Coding Auditor Specialist
4 weeks ago
Company Overview:
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- Randstad is a world leader in matching great people with great companies.">
- We provide permanent, full-time opportunities for experienced professionals in various fields.">
Job Summary:
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- We are seeking a Certified Medical Coding Auditor to work with our client, a Health Network in Dover, DE.">
- This role involves auditing medical records for accurate CPT coding assignment and ensuring compliance with regulatory requirements.">
About the Role:
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- Audit medical records for accurate CPT coding assignment.">
- Compile reports with an analysis of findings from the medical record audits.">
- Ensure the selected CPT code supports the clinical documentation contained in patient records.">
- Audit all established provider medical records on an annual basis.">
Responsibilities:
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- Assign accurate ICD-10-CM, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation.">
- Ensure compliance with coding guidelines and payer requirements.">
- Work collaboratively with healthcare providers to clarify documentation for accurate coding.">
- Perform audits and quality reviews to maintain coding accuracy and regulatory compliance.">
- Resolve billing and documentation discrepancies in a timely manner.">
- Stay informed of coding updates, payer requirements, and industry best practices.">
Required Skills and Qualifications:
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- Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification (required).">
- Education: High school diploma or equivalent (required); Associate's or Bachelor's degree in Health Information Management or related field (preferred).">
- Experience: Minimum of 5 years of medical coding experience in a hospital or healthcare setting (preferred).">
- Solid knowledge of medical terminology, anatomy, and coding software.">
- Familiarity with regulatory requirements, including HIPAA and payer-specific coding guidelines.">
Benefits:
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- Competitive salary: $53,000 - $81,000 per year">
- Comprehensive benefits package">
- Opportunities for career growth and continuing education">
- Supportive, team-oriented work environment">
- Access to state-of-the-art facilities and tools to perform your best work">
About Us:
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- Randstad is an equal opportunity employer.">
- We welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.">
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