Medical Coding Auditor Fully Remote in EST

Must Haves:

-CPMA & CPC

-1+ years' experience of provider coding audits

-E/M and procedure coding background

-Associate's degree or equivalent work experience

Day to Day

-Responsible for conducting audits according to the Internal Audit Program standards and specifications

-Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions.

-Interacts with physicians, APPs, coders, and other appropriate staff regarding billing an documentation policies, procedures, and regulations. Conducts audit presentations and on-demand trainings of providers (future).

-Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency directives for ICD-10-CM and CPT coding

-Completes online education courses and attends mandatory coding workshops and/or seminars (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding

-Reviews AHA and CPT quarterly coding update publications

-Attends all internal conference calls for Quarterly Coding Updates