Insurance Filed Auditor
EXL
Auditor, Billing & Coding
Aledade, Inc.
full-time
Posted on:
Location Type: Remote
Location: Remote • Ohio, Texas, Virginia • 🇺🇸 United States
Visit company websiteJob Level
SeniorLead
About the role
- Conduct retrospective chart audits for coding accuracy, modifier usage, and documentation sufficiency.
- Review patterns related to E/M coding, preventive services, incident-to coding and HCC risk adjustment.
- Provide direct feedback and education to providers and practice staff on coding and documentation best practices.
- Coordinate with Aledade contracted coding vendor for seamless integration and issue resolution.
- Identify systemic gaps in documentation or coding and work with practice leadership to address.
- Stay current with Medicare and commercial payer policies and ensure practice-level compliance.
- Assist in developing educational materials, playbooks, and tip guides for common coding issues.
- Other duties as assigned
Requirements
- High school diploma or equivalent
- Minimum of 8 years of medical billing and coding experience in an ambulatory care or outpatient office setting, preferably primary care.
- AAPC Certified Professional Coder (CPC) certification OR Certified Coding Specialist-Professional (CCS-P) certification through American Health Information Management Association (AHIMA).
Benefits
- Flexible work schedules and the ability to work remotely are available for many roles
- Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
- Robust time-off plan (21 days of PTO in your first year)
- Two paid volunteer days and 11 paid holidays
- 12 weeks paid parental leave for all new parents
- Six weeks paid sabbatical after six years of service
- Educational Assistant Program and Clinical Employee Reimbursement Program
- 401(k) with up to 4% match
- Stock options
- And much more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
coding accuracymodifier usageE/M codingpreventive servicesincident-to codingHCC risk adjustmentdocumentation best practicesmedical billingcoding experienceambulatory care
Soft skills
feedbackeducationcoordinationissue resolutionidentification of gapscollaborationcommunicationdevelopment of materialsproblem-solvingleadership
Certifications
AAPC Certified Professional Coder (CPC)Certified Coding Specialist-Professional (CCS-P)
