Coding Denials Auditor
Remote
Core
Analyze coded medical services, reports, and billed charges to determine the appropriateness of medical coding, delivery of care, and treatment plans for orthopedic and surgical claims.
Role type
Senior IC medical coding auditor (orthopedics/surgery)
Builds
Accurate reimbursement and corrected claims for third-party carriers
Domain
Healthcare revenue cycle management (orthopedics and surgery)
Required skills
Medical coding (CPT, ICD, HCPCS), Claims auditing, Appeals drafting, Medical record analysis, Fee schedule interpretation (DRGs, APCs, NCCI), MS Excel
Preferred skills
Orthopedic surgery billing expertise, Complex claims management, Healthcare documentation systems proficiency
