Medical Coding Auditor - Inpatient DRG

September 25

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Performant Corp

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Fraud, Waste & Abuse • Analytics, Audit and Recovery • Government and Commercial Healthcare • Cost Containment and Prepayment • Health Care Audit

1001 - 5000 employees

⚕️ Healthcare Insurance

📋 Compliance

☁️ SaaS

Description

• Ensure accuracy, integrity, and compliance of medical coding practices • Audit medical records using ICD-10, CPT, and HCPCS codes • Monitor compliance with federal, state, and payer-specific regulations • Detect discrepancies and coding errors and provide feedback • Provide training and support to coding staff • Prepare detailed audit reports • Assist in developing and updating coding policies • Collaborate with medical billing, compliance, and clinical teams

Requirements

• High school diploma or equivalent GED required • Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred • Active certification is required • Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) preferred • At least three (3) years of direct experience in coding/auditing applicable services

Benefits

• Medical, dental, vision coverage options • Disability coverage options • Life insurance coverage • 401(k) savings plans • Paid family/parental leave • 11 paid holidays per year • Sick time and vacation time off annually