CPC Certified Coding Audit Manager

Job Summary

A company is looking for a Manager, SIU Coding Audit Post-Pay to lead anti-fraud initiatives and manage a coding audit team.

Key Responsibilities

• Manage a Coding Audit team performing prepayment and post-payment reviews of medical records and claims
• Set and monitor performance metrics to achieve organizational goals
• Conduct complex reviews of claims to ensure accuracy and compliance with coding standards

Required Qualifications

• Bachelor's degree and 5+ years of coding experience, including 3+ years in auditing
• Certified Professional Coder (CPC) designation or similar certification
• 2+ years of experience managing direct reports