Coding Auditor - Anaheim California

Company: VirtualVocations
Location: Anaheim, California
Posted On: 02/06/2025

A company is looking for a Coding Auditor (Remote Based in the US).



Key Responsibilities

Conducts coding audits of submitted claims to assess the appropriateness of procedure, ICD, and HCPCS codes
Coordinates with revenue cycle teams to investigate denied claims and assists in claim corrections and appeals
Drafts appeals to payors using coding guidelines and reviews carrier audits for coding appropriateness


Required Qualifications

High school diploma or equivalent; Associate's or Bachelor's degree preferred
Required certifications: RHIT, RHIA, CCS, or AAPC certifications (CPC, COC, CPMA)
Minimum of 5 years of coding experience in a healthcare setting
Strong knowledge of coding guidelines (ICD-10, CM, CPT, HCPCS) and documentation requirements
Familiarity with regulatory requirements related to coding and documentation (e.g., HIPAA, Medicare, Medicaid) More...

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