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Medical Coding Auditor

Company: AmeriHealth Caritas
Location: Philadelphia
Posted on: January 27, 2023

Job Description:

**Medical Coding Auditor**Location: Philadelphia, PAPrimary Job Function: ComplianceID**: 27185Your career starts now. We're looking for the next generation of health care leaders.At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com .**Responsibilities:**The Medical Coding Auditor conducts comprehensive reviews of medical records and documents supporting claims for medical and behavioral health care services. Manages and conducts specific medical billing and coding audits to evaluate completeness of medical record documentation in support of the way a claim has been billed and should be reimbursed. The Incumbent provides investigative support to the Provider Claim Inquiry Team related to coding and billing issues and identifies potential underpayments due to edits that have been applied to the claim by our claim editing system or Vendor's hired to review claims.**Education/ Experience:**Bachelor's Degree preferred but not required.Certified Professional Coder (CPC) required.1 to 3 years experience.EOE Minorities/Females/Protected Veterans/Disabled

Keywords: AmeriHealth Caritas, Philadelphia , Medical Coding Auditor, Other , Philadelphia, Pennsylvania

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