Coding Auditor

The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. The incumbent reviews and audits physician and institutional billing from multiple departments and entities across the organization, and assists in training departmental personnel in correct coding and documentation. This position is not responsible for providing patient care.

Responsibilities

Essential Functions

• Performs audits and reports on the accuracy of procedure coding, facility E&M coding, ICD-10 coding and billing.

• Reviews insurance payments for reimbursement accuracy, which is based on correct interpretation of clinical data and application of codes, modifiers and payment rules.

• Reviews and audits institutional coding and billing from multiple departments and entities across the organization.

• Assists in training personnel in correct documentation processes and coding guidelines.

• Oversees on-going projects that are within the scope of this position.

Knowledge / Skills / Abilities

• Extensive knowledge of coding rules as outlined by CMS, AHA AMA.

• Ability to identify areas or items which are not in compliance with the rules, present findings to various groups (e.g. physicians, nurses, administrators/directors coders, billing representatives) and recommend appropriate changes to policies and procedures.

• Ability to meet the American Academy of Procedural Coders and/or AHIMA's continuing education requirements.

See more and apply with the job URL below:
https://careers-uuhc.icims.com/jobs/83897/coding-auditor/job?mode=job&iis=SOURCE&iisn=CodingAuditorAAPCjp