E/M Coding Auditor Remote

Category : Medical Coding/Auditing
Location/City : ME ? Augusta
Job Type : Temp to Perm
Id : 141588
Recruiter Email : afincher@thecsicompanies.com
Region :
Job Title: E/M Coding Auditor (Senior Recovery / Resolution Analyst)CSI is currently looking for Experienced, Certified Coders (through the AAPC or AHIMA) for a great, remote, E&M coding position. The qualified person must have at least 2 years of coding experience and have an active coding certification as well as 6 months of E/M coding or E&M coding auditing experience. This is NOT a short term, contract position, this is a long term contract that will go permanent. If you meet these qualifications then please read below for more information and send your resume for immediate consideration to join this reputable, international, healthcare team.All coders must pass a coding (ICD-9) and Excel test. Coders must have recently worked in a productivity coding role recently and be able to train for the first 6-8 weeks remotely during the following schedule: M-F 8am-5pm CENTRAL (this is a requirement). After the 6-8 weeks of training, the coder can pick their schedule as long as they stick to that schedule and work 40 hours a week.We are looking for 150 remote coders (must have 6 months of E/M coding experience and 2 years of total certified coding experience). Overtime is an option and will be occasionally required so please only apply if you are willing to work overtime as needed (all overtime will be paid 1.5 times of the regular hourly pay).Job DescriptionPositions in this function are responsible for investigating, reviewing, and resolving Professional and/or Facility provider claims on behalf of our commercial and government customers and their health plans. This may include participation in telephone calls or meetings with providers, clients and other investigative areas. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.Responsibilities: Investigates, reviews, and provides clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through file review. This could include Medical Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies and consideration of relevant clinical information. Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information on claims with over billing patterns. Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding & billing. Identifies over billing patterns and trends, waste and error, and recommends providers to be flagged for review.Required Qualifications: High School Diploma or GED 2+ years of certified coding experience (must have experience working as a coder or coding auditor to be considered) At least 6 months of E & M (E/M) coding and/or auditing experience Coding certification to include the following: CPC, COC, CCS, CPC-H, CCS-P, RHIA, and RHIT We are looking for those that can work at least 40 hours a week, and we strongly prefer those that are interested in working overtime as well Must be able to work M-F 8am -5pm Central hours for the first 6 weeks of training (can not miss even one hour of training since it is a WebEx / remote training). Technically savvy Remote experience is preferred (please make sure you express any positions that have been remote on your resume) Upon hire, a drug test, background check, employment verification and coding certification verification will be conducted. Pay will be very competitive based upon years of experience, education and credentials.You will not be considered if: You are not able to work 40 hours of week and overtime occasionally If you plan on working another position If you have less than 2 years of coding experience If you do not have a current and active coding certification through the AAPC or AHIMA If you won't be able to train (through WebEx/remote) M-F 8am -5pm Central hours for the first 6 weeks of training (can not miss even one hour of training since it is a WebEx / remote training).For immediate consideration please send your resume directly to Afincher@thecsicompanies.com for immediate considerationKeywords: E/M Coder, E/M coding, E/M auditor, E/M auditing, E & M, E&M, Evaluation and management, evaluation & management, CPC, COC, Medicare risk adjustment, remote coder, virtual coder, telecommute coder, coding, coding auditor, ICD-10, CCS, RHIA, RHIT, HCC, Medical Coder, AHIMA, auditing, certified coder, auditor, auditing, coding auditor, DRG, HCC, Medicare risk, QA, Quality assurance, medical billing, medical coding, medical coder, certified professional coder, HIM, health information management, MRA, risk adjustment, health plan, health, healthcare, medical records, ICD-9 coding, coding, coder, remote coding, telecommute, telecommuter, work from home, remote, diagnosis coding

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