Coding Compliance Auditor (2223)
Location
United States
Posted
1 day ago
Salary
Not specified
Seniority
Mid Level
No structured requirement data.
Job Description
Job Requirements
- Certification: Certified Professional Coder (CPC) from AAPC or AHIMA equivalent Certification.
- Certified Professional Medical Auditor (CPMA) from AAPC (required to obtain within 12 months of hire date).
- Minimum of 5 years of experience in medical coding (cardiovascular specialties preferred).
- Minimum of 2 years of experience in medical auditing (cardiovascular specialties preferred).
- Minimum of 2 years of experience in direct provider education.
- Strong knowledge of healthcare regulations, billing practices, and coding standards.
- Experience with compliance audits, investigations, and regulatory reporting.
- Excellent communication, analytical, and leadership skills.
- Bachelor’s degree in health care administration, Public Health, Business, or related field preferred but not required.
- Certification: Certified Cardiology Coder (CRC) from AAPC preferred but not required.
- Experience in risk adjustment coding and health plan operations preferred but not required.
- Knowledge of federal, state and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
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