Das ist der Job
MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE.
Darum lohnt es sich
Required Qualifications Active CPC certification through the American Academy of Professional Coders (AAPC) CPMA preferred Minimum 5 years of professional coding experience At least 3 years of Texas-based coding experience required Strong knowledge of Texas Medicaid (TMHP) and Texas commercial payer policies Prior audit and utilization review experience required Experience supporting legal cases, depositions, or expert testimony strongly preferred Excellent written documentation and reporting skills Ability to work independently and meet deadlines Benefits Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind.
We offer a range of benefits including medical, dental, and vision coverage for you and your family. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Counter Affidavit as well as Testimony experience is preferred.
Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review E/M services under 2021+ guidelines Interpret CMS, LCD/NCD, and payer-specific policies Identify risk areas and compliance vulnerabilities This position may be part-time depending on the candidate’s qualifications.
Texas residency is a requirement. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost.
Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. #J-18808-Ljbffr
