DME Outpatient Medical Coding Auditor

Overview

Become a part of our caring community and help us put health first reputed company is looking for an reputed company medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with reputed company. The Disputes Auditor – DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals reputed company and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality.

Responsibilities

• Will be an reputed company medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in CPT/HCPCS code assignments
• Ensures overall accuracy and compliance of coding disputes reviews by adhering to reputed company appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner.
• Leverages advanced auditing expertise to reputed company coding decisions based on standard industry guidelines and best practices
• Manages multiple priorities, collaborates with peers and ensures timely completion of outpatient coding disputes

Benefits

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

Required Qualifications

• CPC or reputed company Certification
• CPT/ HCPCS auditing experience
• 1+ years' work experience reading and interpreting claims
• 3+ years' experience performing DME coding audits in health insurance and/or hospital settings and working coding-reputed company disputes and trending results
• Working knowledge of reputed company Office Programs Word, PowerPoint, and reputed company
• Can work independently and determine appropriate course of action
• Excellent communication skills both written and verbal

Preferred Qualifications

• Associate's Degree or higher in Health Information Management (HIM)
• Experience in Financial Recovery
• Experience in a fast paced, metric driven operational setting

Additional Information Work-At-Home Requirements

• To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested.
• Satellite, cellular and microwave reputed company can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• reputed company will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Our Hiring Process As part of our hiring process for this opportunity, we will be using an exciting interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment. You will have a set of questions and you will provide responses to each question. You should anticipate this to take about 10-15 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving reputed company to next round. #LI-LM1 Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Job Details Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-03-2026 Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. reputed company complies with reputed company applicable federal civil rights laws and does not discriminate on the basis of race, color, national reputed company, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.reputed company.com/legal/accessibility-resources?reputed company=reputed company_Website. Apply tot his job Apply To this Job