Job Description
The Medical Coder Auditor plays a crucial role in ensuring the accuracy and compliance of medical coding practices. This position involves reviewing medical records, coding data, and billing information to verify coding accuracy and adherence to coding guidelines and regulations.
- Key Responsibilities:
- Auditing and Review:
- Review medical records and coding data to ensure accurate coding assignment.
- Identify and analyze coding errors, discrepancies, and inconsistencies.
- Validate code assignments against documentation and coding guidelines (ICD-10, CPT, HCPCS, Modifiers).
- Perform audits on an ongoing basis
- Compliance and Regulatory Adherence:
- Stay up-to-date on coding updates, changes, and regulatory requirements.
- Identify and report potential compliance issues or areas of concern.
- Serve as a resource for coding staff, answering questions and providing guidance.
- Ensure compliance with relevant coding guidelines, regulations, and industry standards.
- Identify inaccurate coding practices and prepare reports on findings and recommendations
- Stay Updated on the latest changes in coding regulations, payer policies, and healthcare laws to ensure ongoing compliance
- Documentation and Reporting:
- Provide and Maintain accurate and detailed audit documentation, including findings, recommendations, and corrective actions.
- Prepare audit reports, highlighting key findings and trends.
- Participate in quality improvement initiatives related to medical coding.
- Qualifications:
- Education: Associate's degree, Bachelor's degree
- Experience and Certifications:
- Required Qualification Certification from AHIMA or AAPC (e.g., CPC, CCS) required 4 years of coding experience or equivalent
AAPC Certification in CIC CPC, CCS, CCS-P, RHIT
- Knowledge:
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Strong knowledge of Modifiers
- Facility, Inpatient and Ambulatory Surgery coding requirements
- Specialty Coding for Radiology
- Familiarity with coding guidelines, regulations, and industry standards.
- Understanding and proficiency medical terminology
- Skills:
- Excellent analytical and problem-solving skills.
- Attention to detail and accuracy.
- Strong communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Must have experience with HIM systems including Epic, Cerner etc.
Job Type: Part-time
Pay: $23.00 - $30.00 per hour
- Application Question(s):
- Do you have the ability to type 60+ wpm?
- Please describe your experience with Facility and Inpatient coding and auditing.
- Education:
- Bachelor's (Required)
- Experience:
- CPT coding: 3 years (Required)
- Facility Coding: 3 years (Required)
- Inpatient Coding: 3 years (Required)
Work Location: Remote
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