To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities.
Key responsibilities
Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies
Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff
Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards
Required qualifications
High School diploma or equivalent
CPMA certification or equivalent coding credential required, with five years of auditing experience preferred
Five years of professional coding experience in multiple specialties
Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS
Proficiency in Microsoft Office Suite and experience with Electronic Medical Records, preferably EPIC