Medical Records Audit Specialist
Nandini PUnited StatesMIDPosted 2h ago
ICD-10-CMCPT codingMedical record reviewsCoding accuracyCompliance auditsMedicaidMedicare codingClaims review
About the Role
We are looking for a Medical Records Audit Specialist to join our team. This role involves auditing medical records, reviewing coding accuracy, and ensuring compliance with healthcare regulations.
Key Responsibilities
• Conduct medical record reviews and coding accuracy audits
• Perform compliance audits for healthcare providers
• Review claims for Medicaid and Medicare coding
• Ensure coding standards are met according to ICD-10-CM and CPT guidelines
Requirements
• Minimum 3 years of experience in medical coding, claims review, and auditing
• Certifications: CPC, CCS, or CPMA (CPMA preferred)
• Expertise in ICD-10-CM and CPT coding
• Experience with Medicaid and Medicare coding and claims review
• Knowledge of healthcare compliance and auditing practices