INTELETECH GLOBAL INC

  • Altamonte Springs, FL, United States
INTELETECH GLOBAL INC Altamonte Springs, FL, USA
Job Description Job Description Job Description The Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing provider’s diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions. The role of the auditor is to educate providers performing services in clinic base and hospital setting in ensuring documentation meets the reporting requirements of a legal medical record supporting medical necessity in adherence with payer requirements with billed charges. The auditor acts as liaison and works in conjunction with the Revenue Cycle teams reviewing claim denials with provider follow-up requests. Provides physician/clinical allied health providers with educational topics based on claim denials, trends, and external auditing outcomes. Coordinates audits, provider follow-up meetings, and...