Coding and Bill Audit Specialist

Company: VirtualVocations
Location: Hartford
Posted on: November 14, 2024

Job Description:

A company is looking for a Coding and Bill Audit Product Specialist to enhance healthcare solutions through coding and clinical product development.

Key Responsibilities

Develop clinical and coding products in collaboration with Medical Directors and Innovation Teams
Analyze data to innovate claim selection methodologies and monitor program performance
Provide Subject Matter Expert (SME) support for clinical policies and coding review programs

Required Qualifications, Training, and Education

10+ years of experience auditing ICD 10 CM/PCS, MS-DRG, and proficient with encoder products
Registered Nurse and/or Inpatient Coding Certification (e.g., CCS, CIC, RHIA, RHIT) required
Expertise in Itemized Bill Review products
Deep knowledge of inpatient and outpatient billing and coding audits
Ability to research and implement coding guidelines and regulatory policies

Keywords: VirtualVocations, Waterbury , Coding and Bill Audit Specialist, Accounting, Auditing , Hartford, Connecticut

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