Outpatient Auditor - CCS, CPC - Riverside California

Company: VirtualVocations
Location: Riverside, California
Posted On: 02/07/2025

A company is looking for an Auditor III - Outpatient.



Key Responsibilities:

Conduct CPT/APC coding reviews to verify accuracy of CPT coding assignments and APC reimbursement on outpatient claims
Apply coding guidelines to various claim scenarios and utilize tools to maximize overpayment identifications
Document audit results clearly and effectively, ensuring compliance with coding rules and guidelines


Required Qualifications:

One or more credentials: CCS, RHIA, RHIT, CPC; preference for multiple credentials
3+ years of outpatient coding experience with expert knowledge of coding guidelines and reimbursement methodologies
Prior experience in APC retrospective overpayment identification auditing is preferred More...

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