Medical Auditor
Medical Auditor
Role Type: Contractor
Location: Remote
Scope of Work
Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy and compliance.
Identify trends, gaps, and potential risks in coding practices, providing actionable recommendations for quality improvement.
Apply comprehensive knowledge of academic medical center protocols to evaluate audit findings and ensure adherence to best practices.
Document findings clearly and provide written narratives that enhance model training data for AI development.
Contribute high-quality feedback on complex coding and auditing scenarios to support AI learning objectives.
Engage in collaborative discussions to clarify ambiguous or nuanced coding and documentation cases.
Support ongoing audit program management initiatives as needed, leveraging extensive experience in similar environments.
Preferred Qualifications
Minimum 10 years' experience in medical coding, with a focus on outpatient professional fee coding and auditing.
Direct experience managing or conducting audits at academic medical centers.
Demonstrated history of consistent high performance and accuracy in coding and audit review assignments.
In-depth understanding of medical coding guidelines, compliance regulations, and audit methodologies.
Exceptional written and verbal communication skills, with the ability to convey complex findings clearly.
Experience delivering insightful, actionable recommendations based on audit data.
Knowledge of audit program management and familiarity with the unique challenges of academic environments.
Recommended Jobs
Dishwasher
WE ARE LONGHORN. Legendary food and service begins with legendary people. We believe in earning the loyalty of our Team Members with our strong, diverse culture, well-done benefits and growth opport…
Associate Media Director, Programmatic
The Associate Media Director, Programmatic has a core responsibility to support our omnichannel programmatic strategy and execution along with our respective agency teams within Syneos Health. This i…
Assistant to Property Manager
Job Description Job Description Job Summary: The Assistant Property Manager supports the Property Manager in overseeing daily operations of residential and commercial properties, ensuring …
Membership Advisor
OVERVIEW OF THE COMPANY Fox Corporation Under the FOX banner, we produce and distribute content through some of the world’s leading and most valued brands, including: FOX News Media, FOX Sports…
Special Education Head Teacher - BCBA Supervision Hours Provided
Job Description Job Description SPECIAL EDUCATION HEAD TEACHER — BEHAVIOR FOCUS | BCBA SUPERVISION HOURS PROVIDED The Shirley Aninias School | New York, NY | Full-Time, 12-Month | 7:30 AM–3:30…
Food and Beverage Office Coordinator
The Food & Beverage Office Coordinator provides administrative, purchasing, inventory, payroll, and accounting support for the Food & Beverage Department. This position serves as the central point of…
Political Information Specialist
OVERVIEW OF THE COMPANY Fox News Media FOX News Media operates the FOX News Channel (FNC), FOX Business Network (FBN), FOX News Digital, FOX News Audio, FOX News Books, the direct-to-consumer d…
Senior Data Architect
**This role will be hybrid in New York** I am partnered with a global, data-driven organization to hire an experienced Data Architect to lead the design and delivery of scalable, secure, and h…
Contract Vehicle Inspector
Global Staffing Services is searching for Independent Contractors for vehicle inspections nationwide. Hiring 1099 Independent Contractors Immediately to join our Client’s Vendor Network! Set…
Account Executive - SaaS Startup
Job Description Job Description Account Executive (NYC) Upfluence | New York City (in-office) | Full-time, early-career closing role About the role Upfluence is the influencer marketing platf…