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