A company is looking for a Professional Billing (PB) Auditor - Surgical Specialty.
Key Responsibilities
Perform retrospective and concurrent audits of professional billing surgical claims
Review operative reports and documentation to validate appropriate coding assignments
Document audit findings and support internal and external audit preparedness
Qualifications
Minimum 2+ years of professional billing auditing experience focused on surgical services
Strong knowledge of CPT (Surgery section), ICD-10-CM, modifiers, and NCCI edits
Experience auditing hospital-based physician surgical billing claims
CPC, CPMA, or equivalent certification preferred
Surgical Billing Auditor • Honolulu, Hawaii, United States
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