Medical Coding Auditor - Must have a NM Residence
- Full-time
- Permanent
Job Description
Job Description
UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico.
- This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico
- This position requires extensive knowledge and experience with E / M coding.
- $2,000 Sign-on Bonus
Minimum $56,173 - Midpoint $70,217
Summary :
Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support to medical providers, support staff and medical coding personnel on accurate documentation supports billing and coding standards. Collaborates with hospital compliance and coding staff to ensure consistent training with medical providers on professional and facility services. Reviews, develops, and / or modifies procedures, systems and protocols to achieve and maintain compatibility with UNM Medical Group billing requirements and compliance standards. Assists management with the development of the annual work plan risk assessment and evaluates external payer record requests for reconsideration, appeals and rebuttals
Minimum Job Requirements of a Medical Coding Auditor :
High School diploma or GED with 5 years directly related experience; at least one of the following CPC, CCs, CCS-P, COC, RHIA or RHIT, CHONC. Certification or certificate eligible for Certified Professional Medical Auditor (CPMA). Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure will be required if selected for hire.
The UNM Medical Group (UNMMG) Coding Auditor position requires the candidate to either hold a Certified Professional Medical Auditor (CPMA) designation at the time of hire, or to secure such designation within 18 months of hire. UNMMG will pay for study materials and the cost of one exam, through the UNMMG Compliance Department budget.
Duties and Responsibilities of a Medical Coding Analyst :
Why Join UNM Medical Group, Inc.?
Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025 . We ASPIRE to incorporate the following values into all aspects of our culture and work : we always demonstrate an Attitude of Service with Positivity , Integrity and Respect as we strive for Excellence . We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.
Benefits :
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