Coding Auditor
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Job Description
Remote Coding Auditor auditing inpatient and outpatient coding for Med-Metrix. Preparing compliance reports, educating physicians, and ensuring HIPAA-compliant documentation.
Responsibilities:
- Perform inpatient and outpatient coding and auditing for various specialties
- Perform coding audits and compliance audits for physicians and mid-level providers
- Prepare audit reports and present audits to internal and external parties as needed
- Apply coding and documentation guidelines, including E&M, surgery documentation, CCI, CPT/HCPCS, and specialty association guidance
- Provide physician education based on audit findings and edit or denial trending
- Complete coding audits for copartners’ coding WQ
- Work with offsite auditors
- Evaluate and report on the quality of physician documentation supporting selected codes and medical necessity
- Adhere to local and national coverage determinations, CCI, and payer-specific editing rules
- Ensure appropriate documentation and coding of split/shared services, teaching physician guidelines, and client-specific quality assessment programs
- Compile, trend, analyze, and report findings that do not meet applicable guidelines
- Protect and disclose patients’ PHI in accordance with HIPAA standards
- Comply with Information Security and HIPAA policies and procedures
- Limit viewing of PHI to the minimum necessary to perform assigned duties
- Perform other duties as assigned by the management team
Requirements:
- High School diploma or equivalent required
- CPC or CCS coding certification required from AHIMA or AAPC
- Minimum 5 years of coding experience
- Minimum 2 years auditing experience in a multi-specialty setting
- Must be able to use job-related software
- Self-starter with ability to work independently
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills and ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Must possess a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Ability to follow directions, collaborate with others, and handle stress
Benefits:
- Remote work arrangement
- Use of job-related software and Microsoft Office Suite
- Multifactor authentication and security support for a smartphone or electronic device
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