Medical Record Audit / Coding Auditor
Miami, Florida, United States
About the Job
Our client is a contracting and data management services organization dedicated to primary care physicians throughout Florida.
In this role you are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity.
- To develop and implement policies to support the clinical coding audit function
- Receive, review and communicate findings on patient billing coding related complaints.
- Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified
- Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers
- Prepare reports as required relative to these monitoring and review activities.
- Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities.
- Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations.
To succeed in this role, you have:
- High School diploma required, Associate Degree preferred;
- Must be a certified professional coder;
- Minimum five years hands-on experience in physician coding