• Login / Signup
    • Instagram
    youtube
    Facebook

    Senior Coding – Auditor | India

    Advantum Health Logo
    2+ years
    Not Disclosed
    Remote
    10 Nov. 13, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Coding Auditor and Educator (Orthopedic Surgery)
    Job Summary:
    The Coding Auditor and Educator is responsible for auditing complex coding and billing practices, ensuring compliance with current coding guidelines, Medicare, medical necessity, and NCD/LCD requirements. This role primarily focuses on orthopedic surgery and E/M coding, with expertise in multiple specialties. The individual will provide educational training and support to physicians, mid-level practitioners, clinical staff, and revenue cycle teams. Strong communication skills are essential to confidently liaise with providers and clinical teams.

    Qualifications:

    • Graduate in Lifesciences with coding certifications (CPC, CCS).
    • Minimum of 6 years of relevant coding experience and 8 years overall experience.
    • 3+ years of experience in orthopedic surgery and Evaluation and Management (E/M) coding; experience in other surgical specialties is considered.
    • Certified coding certification from AAPC or AHIMA is required.
    • Deep understanding of auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines.
    • Additional certifications such as RHIT, CCS, CPMA, or specialty designations are desirable.
    • Strong knowledge of physician financial reimbursement and revenue cycle management.
    • Experience in presenting coding audits and educational content to physicians and healthcare providers.
    • Ability to work in a high-volume, fast-paced coding audit environment, ensuring accuracy and high-quality deliverables (5-7 encounters per hour).
    • Proficient in Microsoft Office (Word, Excel) and multiple practice management systems.
    • Excellent communication skills (both verbal and written).
    • Strong project management skills and a proactive approach to continuous improvement.

    Responsibilities:

    • Conduct regular audits of coding and billing practices, ensuring compliance with regulations and identifying areas for improvement.
    • Prepare clear, accurate audit findings and recommendations in written reports to educate providers, coders, and management.
    • Review medical records monthly to verify the accuracy of documented diagnoses and procedures, including ICD-10 CM codes, CPT, HCPCS, modifiers, and place of service.
    • Stay updated on changes in coding regulations, policies, and procedures to maintain organizational compliance.
    • Design, develop, and implement coding education programs for clients and staff.
    • Train and educate coding staff, physicians, and healthcare providers on coding best practices, documentation requirements, and compliance with regulatory guidelines.
    • Ensure HIPAA compliance while handling Protected Health Information (PHI).

    Job Type:

    • Full-time

    Latest Jobs

    Clinical Research Lead Auditor/Monitor (Oncology Studies) Remote

    Ecog-Acrin Mrf
    Remote, USA

    Infusion Clinical Pharmacist

    Sutter Health
    Dublin

    Manager Research Project B (Department Of Biostatistics, Epidemiology And Informatics)

    University Of Pennsylvania
    Remote - Europe

    Sr. Clinical Trial Project Manager (Center For Cellular Immunotherapy)

    University Of Pennsylvania
    Remote - Europe

    Medical Device Clinical Trial Consultant

    Beacon Hill
    Remote, USA

    Associate Director, Clinical Trial Liaison (Field Based)

    Vertex Pharmaceuticals
    Remote, USA

    Post-Doctoral Fellow - 34229

    University Hospitals
    Denver

    Document Technician

    Open Systems Technologies
    Remote, USA

    Associate Direct/Director, Clinical Operations

    Orchestra Biomed
    Remote, USA

    Clinical Trials Project Manager Ii - Remote

    Cpc Clinical Research
    Remote, USA

    Pharma Jobs in India

    Andra Pradesh :

    Anantapur | Bhimavaram | Chittoor | Guntur | Gurgaon | Mangalagiri | Tirupathi | Visakhapatnam |

    Assam :

    Dibrugarh | Diburghar | Guwahati |

    Bihar :

    Hajipur | Patna |

    Chhattisgarh :

    Bilaspur | Raipur |

    Delhi :

    Delhi | India | New Delhi | PAN-India |

    Goa :

    Goa | Panaji |

    Gujarat :

    Ahmedabad | Baroda | Gandhinagar | Mehsana | Tarasadi | Vadodara | Vapi |

    Haryana :

    Ambala | Hisar | Kurukshetra | Panchkula | Rohtak |

    Himachal Pradesh :

    Solan |

    Jharkhand :

    Ranchi |

    Karnataka :

    B.G Nagara | Bangalore | Belgaum | Bengaluru | Mangaluru | Mysore | Udupi |

    Kerala :

    Kannur | Kochi | Malappuram | Thiruvananthapuram |

    Madhya Pradesh :

    Dewas | Gwalior | Indore |

    Maharashtra :

    Ambernath | Amravati | Aurangabad | Jalgaon | Kolhapur | Mumbai | Nagpur | Nashik | Navi Mumbai | Pune | Pune city | Shirpur | Tarapur | Thane |

    PAN-India :

    Panjab :

    Punjab :

    Bathinda | Bela | Chandigarh | Moga | Mohali | Patiala | Phagwara | Rajpura |

    Rajasthan :

    Banasthali | Jaipur | Pilani | Udaipur |

    Tamil Nadu :

    Annamalainagar | Chennai | Coimbatore | Erode | Madurai | Nagercoil | Ooty | Srivilliputtur | Tiruchirappalli | Trichy |

    Uttar Pradesh :

    Gajraula | Gautam buddha Nagar | Ghaziabad | Greater Noida | Jhansi | Lucknow | Mathura | Noida | Park City | Prayagraj | Varanasi |

    Uttarakhand :

    Dehradun | Nainital | Rishikesh |

    West Bengal :

    Kolkata | Mukundapur |

    Pharma Jobs in United States

    Alaska :

    Anchorage | Barrow | Bethel | Juneau | Wrangell |

    Arizona :

    Chandler | Kingman | Lake Havasu City | Peridot | Tempe | Tucson | Yuma |

    California :

    Brisbane | Crescent City | Davis | El Monte | Emeryville | Foster City | Fremont | Irvine | La Jolla | Los Angeles | Martinez | Mountain View | Nevada | Oakland | Pacheco | Palo Alto | Pasadena | Pleasanton | Redwood City | Riverside | Sacramento | San Bernardino | San Diego | San Francisco | San Gabriel | San Jose | Santa Clara | Santa Cruz | Santa Monica | Simi Valley | Soledad | Stanford | Vallejo | West Valley City | Whittier | Willits |

    Colorado :

    Denver |

    Connecticut :

    Storrs |

    D.C :

    Washington |

    Florida :

    Coral Gables | Gainesville | Jacksonville | Naples | Orlando | Rueil-Malmaison | Tallahassee | Tampa | West Palm Beach |

    Georgia :

    Atlanta |

    Hawaii :

    Honolulu |

    Illinois :

    Abbott Park | Champaign | Chicago | Deerfield | Lombard | Naperville |

    Indiana :

    Bloomington | West Lafayette |

    Kansas :

    Lawrence |

    LA :

    Monroe | New Orleans |

    Maryland :

    Baltimore | Elkridge | Rockville |

    Massachusetts :

    Boston | Cambridge | Medford and Somerville | Rockland |

    Minnesota :

    Minneapolis and St. Paul, Minnesota. |

    Missouri :

    Fulton | St. Louis |

    New Jersey :

    Basking Ridge | Bloomfield | Branchburg Township | Bridgewater | Brunswick | Burlington | Charlotte | Clark | Cranbury | East Brunswick | Edison | Fairfield | Far Hills | Flemington | Hackensack | Indianapolis | Jersey City | Linden | Livingston | Lyndhurst | Mahwah | Monmouth Junction | Mount Arlington | New Brunswick | Newark | Nutley | Paramus | Parsippany | Passaic | Paterson | Peapack-Gladstone | Pine Brook | Piscataway Township | Plainsboro | Princeton Junction | Rahway | Raritan | Somerset | Somerville | South Plainfield | Sparta | Summit | Titusville | Trenton | Warren Grove | West Orange | Westfield | Wharton | Whippany |

    New York :

    Biddle | Buffalo | Hicksville | Ithaca | Morningside Heights | New York | Syracuse |

    North Caroline :

    Chapel Hills | Durham | Morrisville | Philippines | Raleigh | Scottsdale |

    Ohio :

    Columbus, |

    Oregon :

    Bend | Corvallis | Eugene | Roseburg | Springfield |

    Pennsylvania :

    Ambler | Middletown | Philadelphia | Pittsburgh | Plymouth Meeting | Wyomissing |

    Puerto Rico :

    San Juan |

    Republic of Mexico :

    Mexico |

    Tennessee :

    Nashville |

    Texas :

    Austin | Dallas | Houston | Richardson |

    Virginia :

    Blacksburg | Charlottesville | Falls Church |

    Washington :

    Goldendale | Pullman | Seattle |

    WI :

    Madison | Wausau |

    Wisconsin :

    Wyoming :

    Cokeville |

    Pharma Jobs in Germany

    Baden-Wurttemberg :

    Freiburg | Grenzach | Heidelberg | Karlsruhe | Konstanz | Stuttgart | Tubingen |

    Bavaria :

    Bayreuth | Erlangen | Munich | Regensburg | Wurzburg |

    Berlin :

    Mitte |

    Brandenburg :

    Berlin |

    Hesse :

    Marburg |

    Hessen :

    Frankfurt |

    Lower Saxony :

    Gottingen | Hannover | Leipzig |

    Mecklenburg Vorpommern :

    Rostock |

    Munich :

    Bavaria |

    North Rhine Westphalia :

    Aachen | Bielefeld | Bochum | Bonn | Cologne | Dortmund | Duisburg | Dusseldorf | Munster |

    Rhineland Palatinate :

    Mainz |

    Rotherbaum :

    Hamburg |

    Saarland :

    Saarbrucken |

    Saxony Anhalt :

    Halle |

    Schleswig Holstein :

    Kiel |

    Pharma Jobs in Europe

    Denmark :

    Copenhagen |

    Hungary :

    Budapest |

    Istanbul :

    Turkey |

    Serbia :

    Belgrade |

    Switzerland :

    Basel | Zurich |

    Pharma Jobs in Australia & China & Colombia & Croatia & Egypt & England & Ireland & Korea & Netherland & Remote & Saudi Arabia & Spain & Thailand

    New South Wales :

    Sydney |

    Queensland :

    Queensland |

    Republic of Western Australia :

    Nedlands |

    Hubei :

    Wuhan |

    Republic of China :

    Beijing |

    Tokiyo :

    Tokyo | Osaka |

    Republic of Colombia :

    Bogota |

    Zagreb :

    Zagreb |

    Republic of Egypt :

    Cairo |

    United Kingdom :

    London | Salt Lake City |

    Republic of Ireland :

    Limerick | Dublin |

    Republic of Korea :

    Seoul |

    Capital of Netherland :

    Amsterdam |

    Remote :

    Remote - Europe | Remote | Remote, USA | Switzerland |

    Makkah :

    Riyadh | Rabigh | Najran | Khulais | Jeddah |

    Catalonia :

    Barcelona |

    Republic of Thailand :

    Bangkok |