Medical & Dental Compliance Auditor

McDermott+Consulting (McDermottPlus) is a premier healthcare consulting firm with offices in Washington, D.C. and New York City.

The Farragut Square Group, McDermottPlus’ research and advisory division, provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. 

As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office.

As a Medical & Dental Auditor you will:

  • Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and need for coding education.
  • Coding reviews include practice and ASC based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines.
  • Explain findings in a clear and concise manner to internal team members. Communicate in a way that demonstrates knowledge of regulations and requirements of CMS, payors, and Federal and state laws.
  • Interact in a professional and courteous way with client practices to help them locate missing documents and provide necessary chart information.

Qualifications:

  • CPC designation is a must. The candidate must also have experience performing billing and coding reviews in the dental field
  • CPMA and/or Inpatient Coding and Coding Instructor Credentials a plus but not required.
  • 5+ years of current audit work within a physician/dental practice or hospital system.
  • Excellent communication and time management abilities, as this position is remote.
  • Familiarity with dental and experience with outpatient medical coding guidelines and willingness to learn about the various sub-specialty coding guidelines in the outpatient setting. Examples of sub-specialties include: ophthalmology, urgent care, gastrointestinal, pain management and autism/ABA, as well as willingness to learn others specialties.
  • Ability to use Microsoft Excel and Word.
  • Demonstrated ability to perform in high productivity, fast-paced environment.

 

When submitting for this position, please include an explanation of your relevant experience within the dental space. (250 words max)

 

Expected Pay Range in New York, California:  $60K – $80K

 

Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that MWE provides to compensate and recognize our staff professionals for their work. Full time positions are eligible for a discretionary bonus and a comprehensive benefits package

 

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