This CRC Coding Auditor role involves ensuring accurate and compliant medical record coding and documentation for claims submissions. The auditor will review denied claims, generate appeals, identify discrepancies, and collaborate with clinical and regulatory staff. They ensure adherence to coding guidelines and regulatory requirements, including accurate claim submission, DRG validation, and effective appeal processes.
Requirements
- Perform coding and documentation quality reviews.
- Complete clinical documentation and documentation integrity.
- Manage denials and track coding methodology.
- Collaborate with Physician Advisors and CRC leadership.
- Maintain expertise in clinical areas and current healthcare trends.
Benefits
- Medical, dental, vision, disability, life, and business travel insurance
- 401k with up to 6% employer match
- Paid time off
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program
- Voluntary benefits