Medical Coding Auditor- Full-time Hybrid position Monday - Friday 7:00-3:30
The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns to assure appropriate procedural terminology and medical codes (e.g., ICD-10-CM) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of appropriate coding.
Job Specific Competencies:
- Confirms appropriate diagnosis and/or other coding assigned.
- Analyzes results, enters, and manipulates data for tracking and educational purposes.
- Responds to requests for medical record documentation to third party payer and/or their associates.
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
- Makes decisions regarding own work methods, occasionally in ambiguous situations.
- Requires minimal direction and receives guidance where needed.
- Follows established guidelines/procedures.
- Perform other duties as assigned.
Education:
- High school diploma or GED – Minimum
Experience:
- 5 years Medical Coding and / or audit experience. Certified Medical Auditor may substitute with 2 years experience.
Certification/License:
- CPC, or equivalent certification
- CPMA or other recognized professional or / equivalent auditor certification
- Must obtain CPMA within 1 year of hire or sooner.