Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance)
Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance) - Remote (#R10259) • Location: Remote • Employment Type: Full-Time • Hourly Rate: $52.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Medical Auditor role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred. Why Join Us? • Competitive Compensation: $52.00/hour • Work Schedule: Full-time, Monday–Friday • Comprehensive Benefits: Comprehensive benefits package • Professional Growth: Advance in healthcare compliance and auditing • Impactful Work: Ensure coding accuracy and regulatory compliance Key Responsibilities: • Perform detailed retrospective and prospective coding audits • Prepare audit findings and summary reports • Identify compliance risks and recommend corrective actions • Provide education to coders and clinical staff Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives. Requirements Qualifications: • Job qualifications & certifications: • * CPC, CPMA, CCS, or related credential • 3+ years of coding/auditing experience • Strong understanding of coding compliance and documentation standards • Skills: • * Strong communication and presentation abilities • Expert knowledge of ICD-10, CPT, HCPCS • Analytical and investigative skills