Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compli at Greenlife Healthcare Staffing
Jericho, New York, United States -
Full Time


Start Date

Immediate

Expiry Date

06 Jul, 26

Salary

52.0

Posted On

07 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medical auditing, Coding compliance, Billing, Coding, ICD-10, CPT, HCPCS, Communication, Presentation, Analytical skills, Investigative skills, Clinical documentation, CMS regulations

Industry

Staffing and Recruiting

Description
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 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 Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives. 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
Responsibilities
Perform detailed retrospective and prospective coding audits to ensure accuracy and regulatory compliance. Identify compliance risks, prepare summary reports, and provide education to coders and clinical staff.
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