<p>We are looking for a detail-oriented 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.</p><p><br></p><p>Responsibilities:</p><p>• 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.</p><p>• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.</p><p>• 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.</p><p>• Abstract required data in accordance with facility-specific guidelines.</p><p>• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.</p><p>• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.</p><p>• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.</p><p>• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.</p><p>• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.</p>

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

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