Senior Coding Auditor, Itemized Bill Reviewer- Remote (Any city, TN, US, 99999)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for a Senior Coding Auditor, Itemized Bill Reviewer who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were ordered, allowable, and accurately documented in the patient record. The candidate must have an extensive background in inpatient hospital bill auditing, outpatient facility coding with charge master review. Your role in our mission Verify that all lines on an itemized bill accurately reflect the services and procedures performed, are covered benefits, were appropriately ordered, properly documented, and reimbursed in accordance with plan policies and provider contract terms. Evaluate documentation to ensure accurate coding, charging, and reimbursement for inpatient hospital and outpatient facility services. Utilize proprietary auditing systems with a high level of proficiency to document audit findings an