Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance)
GreenLife Healthcare Staffing
Jericho, NY(remote)
Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance) - Remote (#R10259)
Location: Remote
Employment Type: Full-Time
Hourly Rate: $52.00/hour
About Greenlife Healthcare Staffing:
Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Position Overview:
An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Medical Auditor role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.
Why Join Us?
- Competitive Compensation: $52.00/hour
- Work Schedule: Full-time, Monday–Friday
- Comprehensive Benefits: Comprehensive benefits package
- Professional Growth: Advance in healthcare compliance and auditing
- Impactful Work: Ensure coding accuracy and regulatory compliance
Qualifications:
- Job qualifications & certifications:
- CPC, CPMA, CCS, or related credential
- 3+ years of coding/auditing experience
- Strong understanding of coding compliance and documentation standards
- Skills:
- Strong communication and presentation abilities
- Expert knowledge of ICD-10, CPT, HCPCS
- Analytical and investigative skills
Key Responsibilities:
- Perform detailed retrospective and prospective coding audits
- Prepare audit findings and summary reports
- Identify compliance risks and recommend corrective actions
- Provide education to coders and clinical staff
How to Apply: Submit your Resume/CV and coding credentials to hr@glhstaffing.com or call (800) 608-4025 to join our compliance team.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.