Premier Medical Resources
Houston, TX, USA
Revenue Cycle Management is looking for a Medical Coder Auditor to join our team.
Summary
The Medical Coder Auditor reviews coded encounters to ensure accuracy, compliance, and alignment with coding guidelines, payer rules, and organizational policies. The role provides feedback to coders, identifies trends in errors, and supports coding education and process improvement initiatives.
Essential Functions
Conduct retrospective and prospective coding audits to ensure coding accuracy and compliance with regulations.
Review coded documentation for completeness, accuracy, and adherence to ICD‑10‑CM, CPT, HCPCS, and ICD‑10‑PCS guidelines.
Identify coding trends, error patterns, and compliance risks, and develop corrective action plans.
Provide feedback and education to coders to improve accuracy and consistency.
Collaborate with providers and clinical staff to clarify documentation as needed.
Prepare audit reports, track coding quality metrics, and communicate results to...