Health Care Service Corporation
Dallas, TX
Job Summary (Par time-Potential for Fulltime)
The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.
Key Responsibilities
Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes
Validate E/M level selection for emergency department visits
Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA)
Identify under coding, over coding, and documentation deficiencies
Prepare detailed audit reports with corrective recommendations
Provide education and feedback to coders and providers
Train and mentor offshore coding teams on ER coding guidelines and audit findings
Conduct regular quality review sessions and calibration meetings with offshore staff
Develop and update training materials,...