Opportunity Description
Clinical Experience Preferred
Now Hiring a Coding and Denial Auditor!
We’re seeking an experienced Coding Auditor / Denial Auditor to support hospital revenue cycle auditing, denial prevention, and reimbursement accuracy. This role focuses on inpatient and outpatient hospital claims. Physician billing experience a plus. Clinical experience strongly preferred to support medical necessity and documentation review.
Key Responsibilities
- Audit hospital inpatient and outpatient coding
- Review claim denials, underpayments, and appeals
- Identify coding, documentation, and medical necessity issues
- Apply ICD‑10‑CM/PCS, CPT, HCPCS and payer rules
- Support revenue integrity and denial reduction efforts
- Provide audit feedback and education to coding and revenue cycle teams
Qualifications
- Active credential: CCS, CPC, CIC, or CCS‑P
Ready to Apply?
Submit your application for Coding & Denial Auditor – Revenue Cycle at Health Business Solutions LLC
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