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Lead Auditor for Medical Coding Compliance
1 month ago
Job Overview
At EXL, we are seeking a highly skilled Lead Auditor for Medical Coding Compliance to join our team. This role is responsible for performing an in-depth review of medical records to ensure that assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines.
About the Role
The successful candidate will have extensive knowledge with CPT coding, 3+ years recent major surgical coding or auditing after certification. They will also possess excellent written and verbal skills, good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great.
Key Responsibilities
- FOLLOW EVERY ASPECT OF SOP WITHOUT FAIL
- COMPLETE RECEIVED AUDITS WITH QUALITY
- Achieve quality and production targets
- FOLLOW PROJECT RELATED PROTOCOLS AND INSTRUCTIONS
- Escalate issues, identify trends
- UPDATE ALL THE LOGS LIKE PRODUCTIVITY, CLARIFICATION LOG, AND ANY OTHER APPLICABLE ON A DAILY BASIS
- CHECK WITH MANAGER/TL IN CASE OF CLARIFICATIONS
- All emails from manager should be answered promptly without fail
- Ensure compliance of entire team for HIPAA,OIG
Requirements
- Bachelor of Science Degree
- Applicant must have current CPC, CCA, CCS, RHIT or RHIA
- Excellent written and verbal communication skills
- Good comprehension of CPT guidelines, use of modifiers and CPT assistant
Salary Information
We offer a competitive salary range of $60,000 - $80,000 per year, depending on experience.
What We Offer
In addition to a challenging and rewarding role, we offer a comprehensive benefits package, including health insurance, retirement savings plan, paid time off, and more.
