Job Description:
Senior Medical Auditor
The Impact You’ll Make in this Role
As a Senior Medical Auditor,you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:
- Performing monthly, quarterly pro-fee and/or facility E/M, Surgery, IR/VIR coding audits for clients
- Conducting retrospective audits on vendor coders and individual clients for Quality Assurance
- Performing educational sessions to vendors and clients based on the audit results
- Ensuring vendor and client compliance with official coding guidelines
- Creating audit reports and summaries for clients in accordance with policies and procedures
- Creating and maintaining auditing schedules
- Supporting and educating internal coding team.
- Maintaining strict HIPAA compliance and following all state and federal guidelines for release of information
Your Skills and Expertise
To set you up for success in this role from day one,requires (at a minimum) the following qualifications:
- Bachelors Degree or higher from an accredited university AND Four (4) years of combined experience with professional fee/Facility auditing and/or ICD coding and/or CPT/HCPCS.
OR
- High School Diploma/GED from an accredited institution AND Eight (8) years of combined experience with professional fee/Facility auditing and/or ICD coding and/or CPT/HCPCS in lieu of the bachelors degree education requirement.
AND
In addition to the above requirements, the following are also required:
- Three 3 years combined experience with professional fee/Facility auditing and/or coding in ICD-10-CM, PCS, and CPT/HCPCS.
- AAPC and/or AHIMA certification (eg, CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, CIRCC).
- One (1) year of ICD-10 trained and proficient
Additional qualifications that could help you succeed even further in this role include:
- Excellent customer service and customer relations skills.
- Must exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession.
- Must maintain current working knowledge of CPT, PCS and ICD-10 coding principles and government regulation and policies.
- Working knowledge of Microsoft applications (eg, Excel, Teams, Word).
- Strong attention to detail, capable of working under time restraints.
- Ability to plan, organize and prioritize job duties under general supervision.
Work location:Remote
Travel: May include up to10%domestic
Relocation Assistance: Not authorized
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).
Supporting Your Well-being
offers many programs to help you live your best life both physically and financially. To ensure competitive pay and benefits,regularly benchmarks with other companies that are comparable in size and scope.
Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.
Applicable to US Applicants Only:The expected compensation range for this position is $83,600 - $114,950, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidates relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards
Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.
Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent and seek to exploit job seekers.
Please note that all email communications regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding job opportunities from emails with other email domains.
Please note, does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.
Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.
