Raleigh, NC, 27608, USA
3 days ago
CPC Certified Medical Coding Auditor for ASC
Description We are looking for an experienced Medical Coding Auditor to join our team on a contract basis in a fully remote capacity. In this role, you will be responsible for conducting comprehensive reviews and audits of medical coding practices, ensuring compliance, accuracy, and identifying areas for improvement as well as recognizing areas of potential risk. This is an excellent opportunity to apply your expertise in medical coding within an ambulatory service center environment. Responsibilities: • Conduct detailed audits of medical coding to evaluate accuracy, compliance, and overall performance. • Analyze payer mix, payment variances, and reimbursement trends to identify opportunities for process improvements. • Review and assess coding practices for risk and compliance with applicable regulations and guidelines. • Develop actionable recommendations to optimize coding accuracy and financial performance. • Collaborate with stakeholders to address identified issues and implement corrective measures. • Prepare comprehensive reports summarizing audit findings, opportunities, and risks. • Provide insights into healthcare revenue cycle processes and recommend strategies for improvement. • Evaluate coding for ambulatory surgery centers, focusing on both physician and hospital coding practices. • Stay updated on industry standards, including CPT, HCPCS, and other relevant coding systems. • Support the organization in achieving higher accuracy and efficiency in their medical coding practices. Requirements • Minimum of 7 years of experience in medical coding and auditing, preferably in an ambulatory service center setting. • Certified Coder (CPC) or Certified Coding Specialist (CCS) certification is required. (ONE OF THESE ACTIVE LICENESES IS A MUST) • Strong expertise in healthcare billing, revenue cycle management, and reimbursement analysis. • Proficiency in using coding systems such as CPT, HCPCS, and Ambulatory Payment Classifications. • Demonstrated ability to analyze claims, charts, and graphs for variance and risk assessment. • Familiarity with healthcare payer systems and claim administration processes. • Excellent attention to detail with a proactive approach to identifying and resolving issues. • Strong communication skills to effectively convey findings and recommendations to stakeholders. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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