Auditor

• Conduct coding audits of submitted outpatient facility and professional claims
• Review billing accuracy and compliance with third-party carrier billing and coding procedures
• Coordinate with revenue cycle teams to investigate rejected or denied claims
• Assist with claim corrections and appeals through inter-departmental collaboration
• Use Microsoft Office Suite to produce correspondence, charts, spreadsheets, and related information
• Maintain knowledge of medical coding and healthcare market changes
• Gather and analyze claims and medical records information to assess documentation findings and outcomes
• Draft payer appeals using nationally sourced coding guidelines
• Communicate coding expertise and audit outcomes internally and externally
• Perform other duties as required

Auditor jobs in Tennessee

Coding Denials Auditor