Auditor, Medical Coding
Lucet
- New York, New York, United States
- New York, New York, United States
Über
Hourly compensation between $30.80 - $35.00, PLUS an annual performance-based, discretionary incentive. Comprehensive health benefit options: Medical, dental, and vision coverage 401(k) with competitive employer match Company-paid life and disability insurance Paid parental leave and wellbeing incentives Generous paid time off, including volunteer time Flexible spending accounts for healthcare and dependent care Professional development opportunities and tuition reimbursement Remote work flexibility (role-dependent) Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time. What You Will Do - Essential Functions The Medical Coding Auditor performs concurrent and retrospective medical coding audits to ensure coding accuracy, regulatory compliance, reimbursement integrity, and documentation quality while providing actionable feedback and collaborating with stakeholders to drive continuous improvement in coding practices and audit outcomes.
Coding Audit, Accuracy & Compliance
Conduct concurrent and retrospective chart audits to validate coding accuracy, completeness, specificity, and adherence to coding guidelines and regulatory requirements. Identify coding errors, compliance risks, and potential fraud, waste, or abuse concerns while maintaining coding integrity and supporting appropriate reimbursement.
Quality Improvement & Operational Performance
Analyze audit trends, root causes, and error patterns; document findings and utilize reporting tools to support data-driven decision making. Lead and support quality improvement initiatives by recommending workflow, process, training, and policy enhancements to improve coding quality and consistency.
Stakeholder Collaboration & Education
Communicate audit findings effectively and provide constructive coaching and education to coders and internal partners. Collaborate with coding leadership, educators, and operational teams to maintain audit consistency, support calibration efforts, and ensure adherence to organizational and regulatory standards.
Who You Are Required Qualifications 2+ yrs. experience in medical chart auditing/quality in the healthcare field In good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CCS, CPC-P, CCS-P or PCS with high degree of competence in this area Advanced proficiency in coding guidelines and regulations Experience in review/audit of medical records coding and development of process improvement plans Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology. Strong working knowledge of ICD-10-CM/PCS coding guidelines. Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen. Living our Values: Serving everyone with compassion and leading with empathy. Stepping up and creating value by taking charge and acting when there is an opportunity. Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. Nurturing growth and belonging by respecting and celebrating everyone for who they are. Competencies Ability to problem solve with the ability to encourage others in collaborative problem solving. Excellent analytical, written and verbal communication skills, organizational, time management Working Conditions: High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required. Frequent use of computer and phone systems Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations. Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary. A quiet workspace with minimal background noise for calls. This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home. A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment.
Sprachkenntnisse
- English
Hinweis für Nutzer
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