Medicare Clinical Auditor
Company: VirtualVocations
Location: Boulder
Posted on: November 18, 2024
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Job Description:
A company is looking for a Medicare Clinical Auditor.
Key Responsibilities
Audit outpatient, inpatient, and professional claims from a
clinical and coding perspective
Document audit results, including denial reasons and erroneous
activities
Review provider appeals and maintain knowledge of coding and
billing guidelines
Required Qualifications, Training, and Education
Graduate of a registered nursing program or Bachelor of Science in
a medical-related field
3+ years of experience as a Clinical Auditor or equivalent clinical
and medical auditing experience
Certified Medical Auditor (must obtain within 18 months if not
certified)
Knowledge of ICD codes, procedure codes, and industry standard
billing rules
Intermediate skills in Microsoft Office and claims adjudication
systems
Keywords: VirtualVocations, Highlands Ranch , Medicare Clinical Auditor, Healthcare , Boulder, Colorado
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