Medical Coding Compliance Auditor

3 days ago


West Long Branch, New Jersey, United States Allied Digestive Health Full time

We are seeking a highly skilled Medical Coding Compliance Auditor to join our team at Allied Digestive Health in New Jersey. As a full-time employee, you will have 50% travel requirements to our locations in NY or Northern NJ.

About the Role:

  • This is an exciting opportunity to utilize your knowledge of medical coding and regulatory guidelines to ensure compliance within our organization.
  • You will conduct audits to evaluate our adherence to relevant standards, identifying areas for improvement and recommending necessary policy changes.
  • Your expertise will be crucial in developing new policies or updating existing ones to meet regulatory requirements.
  • As a subject matter expert, you will serve as a resource on coding and billing topics, providing guidance and support to colleagues.

Requirements:

  • Minimum 3 years of experience in a professional audit capacity, preferably with a focus on medical coding compliance.
  • Possession of CPC, CRC, CGIC, or CGOC certification from AAPC is required.
  • Familiarity with Institute of Internal Auditing (IIA) standards and Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding.
  • Proficiency in MS Office products, particularly intermediate to advanced Excel skills.
  • Able to travel to various locations.

What We Offer:

  • A competitive base salary: $85,000 - $110,000 per year, based on qualifications and location.
  • An attractive benefits package, including Medical, Dental, Vision, Life Insurance, Voluntary Benefits, Time-Off Benefits, EAP, 401K, and Commuter Benefits.


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