Coding Auditor - Professional

Coding Auditor - Professional

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Physician coding

Hours: Full-Time, 40 hours a week required

Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire

Pay: Based one experience, starting at $23.87/hour

Location: Remote or onsite: At this time, you must reside in one of the following locations:

Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas

Responsibilities:

• Assists coders with coding questions.
• Conducts the collection and reporting of provider and coder audit results and education.
• Works with coders and providers to ensure appropriate documentation for clinic services.
• Reports results to Coding Supervisor - Professional.
• Demonstrates ability to code all types of encounters.
• Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded.
• Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
• Refers trend patterns of coding and documentation to Coding Supervisor – Professional.
• Responsible for coding quality audits for E/M Audit Program.
• Analyze and confirm assigned encounters for provider's selection of EM code level utilizing EM code levelselection auditing tool are accurate.
• Analyze and confirm assigned encounters for coder's selection of diagnoses and procedures codes are accurate.
• Reviews record thoroughly to ascertain all diagnoses/procedures.
• Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations.
• Trains new coding staff on coding systems and processes.

Requirements:

High School (Required) CEMA - Certified Evaluation & Management Auditor (within 6 months) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association

Compensation:

Estimated Compensation Range $23.87 - $37.00

Pay based on experience