We are looking for a detail-oriented Certified Medical Coding Auditor to join our team in Alabama. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation. Responsibilities:• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.• Abstract required data in accordance with facility-specific guidelines.• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.

• At least 1 year of experience in medical coding, preferably in outpatient settings.• Proficiency in ICD-10, CPT codes, and certified coding practices.• Strong knowledge of outpatient coding across various specialties, including OBGYN, interventional cardiology, vascular, urology, neurology, general surgery, anesthesiology, wound care, and neurological surgery.• Certification in medical coding (e.g., CPC, CCS, or equivalent) is required.• Familiarity with Epic software and other coding tools.• Ability to perform detailed reviews of medical records to ensure compliance with coding and billing standards.• Excellent analytical and problem-solving skills to identify and address coding discrepancies.• Strong communication skills to collaborate effectively with healthcare providers and team members.

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Birmingham, AL
remote
Permanent
39523.00 - 45760.00 USD / Yearly
We are looking for a detail-oriented Certified Medical Coding Auditor to join our team in Alabama. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation. Responsibilities:• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.• Abstract required data in accordance with facility-specific guidelines.• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.
2025-09-16T19:34:07Z

Certified Medical Coder Job in Birmingham | Robert Half