Auditing medical records for compliance with federal coding regulations, the full-time Coding Compliance Audit & Education Specialist will conduct various audits, prepare reports, and provide education to providers on CPT, ICD-10, and HCPCS coding guidelines.
Key responsibilities
Conduct baseline, routine, and focused audits comparing medical record documentation to coding standards
Prepare audit reports summarizing findings and conduct post-audit education for providers
Act as an internal expert on coding issues, ensuring compliance with state and federal regulations
Required qualifications
5+ years of audit and provider education experience preferred
Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines
Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required
Experience with MDAudit and Athena is a plus
Must comply with all HIPAA rules and regulations