
Medical Coding Expert
6 days ago
We are seeking a detail-oriented Coding Auditor to join our team. As a Coding Auditor, you will play a critical role in ensuring the accuracy and compliance of medical coding practices.
The Coding Auditor will be responsible for conducting thorough reviews of medical documentation and coding to ensure that it meets regulatory standards. You will work closely with coding teams, providers, and clinical staff to educate on coding practices and provide feedback for continuous improvement.
Key responsibilities include:
- Conducting audits of medical records to ensure accurate and compliant coding.
- Educating coding staff and healthcare providers on accurate coding practices and regulatory changes.
- Providing detailed audit reports highlighting findings and corrective actions needed.
- Supporting revenue cycle management by ensuring proper coding for billing and reimbursement.
- Staying current with updates to coding standards, compliance regulations, and healthcare laws.
To be successful in this role, you will need to possess:
- Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification.
- Experience: Minimum of 2-3 years of medical coding or auditing experience and experience with risk adjustment audits, clinical documentation improvement (CDI), and payer audits.
- Knowledge of Coding Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field.
- Exceptional attention to detail, strong communication skills, and analytical skills.
- Familiarity with compliance standards such as HIPAA, Medicare, and Medicaid regulations.
- Proficiency in software including Epic, 3M Encoder, Cerner, or other EHR systems.
We offer a collaborative and dynamic work environment where you can grow and develop your skills. If you are passionate about delivering high-quality results and committed to excellence, we encourage you to apply for this exciting opportunity.
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