medical Auditor ccds/cdiCASM Limitlessli
Salary: Agreement
Work form: Full time
Posting Date: 17/11/2025
Deadline: 02/03/2022
Medical Auditor (Remote)
Job Description:
Medical auditors check the work of medical coders and billers. A medical auditor identifies incomplete documentation that could affect a healthcare facility's livelihood by examining the coding procedures and ensuring the organization complies with regulatory requirements.
Position: Medical Auditor (CCD / CDI)
Location: Remote
Type of Work: Full time, permanent
Work Hours: Monday to Friday, 9:00 AM - 6:00 PM Eastern Standard Time (UTC -5)
The role and responsibilities:
Summary: The auditor is expected to identify fraudulent claims, outliers, reimbursement deficiencies, inefficiencies, incorrect codes and poor documentation to improve the organization being challenged by the government or insurance companies.
Able to cross reference the codes and the charts.
Provide education to other healthcare professionals regarding correct documentation and detailed recommendations to improve the organizations procedures and policies.
Reviews emergency room medical records to assign ICD, CPT, HCPCS codes accurately.
Interprets progress notes, operative reports, discharge summaries, and other documentation within the medical record to identify health-related patterns and assists in addressing patient health problems with the physician.
Ensures all clinical / pharmaceutical documentation is accurate and compliant with federal laws in terms of composition.
Analyzes medical information to assist healthcare staff in providing superior services for patients.
Assists in evaluation of reports, decisions and results of department in relation to established goals.
Requirements:
At least 2 years of experience in health care compliance, clinical documentation improvement, health information management, case management, or utilization/medical necessity review is required.
A working knowledge of ICD-10-CM/PCS coding and DRGs is required while a working knowledge of CPT-4/HCPCS coding is preferred.
Experience with Clinical Documentation Integrity.
Pay Rate: Industry standard applicable to state depending on work of experience and level of expertise.
Start date: Can start ASAP
CASM Limitlessli
Job Description:
Medical auditors check the work of medical coders and billers. A medical auditor identifies incomplete documentation that could affect a healthcare facility's livelihood by examining the coding procedures and ensuring the organization complies with regulatory requirements.
Position: Medical Auditor (CCD / CDI)
Location: Remote
Type of Work: Full time, permanent
Work Hours: Monday to Friday, 9:00 AM - 6:00 PM Eastern Standard Time (UTC -5)
The role and responsibilities:
Summary: The auditor is expected to identify fraudulent claims, outliers, reimbursement deficiencies, inefficiencies, incorrect codes and poor documentation to improve the organization being challenged by the government or insurance companies.
Able to cross reference the codes and the charts.
Provide education to other healthcare professionals regarding correct documentation and detailed recommendations to improve the organizations procedures and policies.
Reviews emergency room medical records to assign ICD, CPT, HCPCS codes accurately.
Interprets progress notes, operative reports, discharge summaries, and other documentation within the medical record to identify health-related patterns and assists in addressing patient health problems with the physician.
Ensures all clinical / pharmaceutical documentation is accurate and compliant with federal laws in terms of composition.
Analyzes medical information to assist healthcare staff in providing superior services for patients.
Assists in evaluation of reports, decisions and results of department in relation to established goals.
Requirements:
At least 2 years of experience in health care compliance, clinical documentation improvement, health information management, case management, or utilization/medical necessity review is required.
A working knowledge of ICD-10-CM/PCS coding and DRGs is required while a working knowledge of CPT-4/HCPCS coding is preferred.
Experience with Clinical Documentation Integrity.
Pay Rate: Industry standard applicable to state depending on work of experience and level of expertise.
Start date: Can start ASAP
CASM Limitlessli
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Philippines
Permanent
Full-time
Permanent
Full-time
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CASM Limitlessli
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