Tennessee Licensed Coding Auditor

A company is looking for a Prof / Ancillary Auditor II to ensure accuracy and compliance in clinical coding through thorough audits.

Key Responsibilities

Presenting and communicating audit results, recommending corrective actions

Conducting claims audits and serving as a subject matter expert to stakeholders

Planning investigations for claims, identifying potential fraud, and engaging special investigation units as needed

Job Qualifications

Bachelor's Degree or equivalent work experience required

4 years of professional or facility inpatient / outpatient coding and auditing experience

Current AHIMA or AAPC coding certification of CPC or equivalent required

Proficient in Microsoft Office applications

Solid knowledge of provider reimbursement methodologies and billing requirements