R1 RCM · 5 days ago

Physician Billing Coding Auditor

Remote, USA

Full-time

Remote

Entry, Mid Level

$41K/yr - $51K/yr

1+ years exp

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Responsibilities

Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes)

Understand billing and coding requirements for government and commercial payers

Abstract statistical data from the patient record and enter information following facility guidelines

Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Maintain productivity standards, tracking logs and deadlines

Qualification

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CPC certificationCPMA certificationRHIA certificationRHIT certificationCCS-P certificationCCS certificationPhysician coding experienceAuditing knowledgeCPT codingHCPCS codingICD10 codingPCS codingSurgical coding experienceMedical terminology knowledgeHIPAA regulations knowledge

Required

CPC, CPMA, RHIA, RHIT, CCS-P, and/or CCS certification

Knowledge of auditing and/or coding with CPT/HCPCS/ICD10/PCS

Surgical coding experience required

Understand medical terminology, coding, contractual agreements, and various payment methodologies

Good time management skills and the ability to work independently

Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes)

Understand billing and coding requirements for government and commercial payers

Abstract statistical data from the patient record and enter information following facility guidelines

Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services

Follow all HIPAA regulations and uphold a higher standard around privacy requirements

Maintain productivity standards, tracking logs and deadlines