Medical Coding Auditor Specialist

4 weeks ago


Dover, Delaware, United States Randstad Full time

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.">
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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.">
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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.">
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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.">
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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.">
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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">
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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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