Remote Internal Medical Coding Auditor

Job Highlights

Using AI ⚡ to summarize the original job post

Responsibilities

• Review medical documentation from physicians and other healthcare providers to validate modifiers, diagnostic and procedure codes.
• Experience with coding/auditing multi-specialty accounts, including Internal Medicine, Gastroenterology, Neurology, Neurosurgery, General Surgery, Orthopedics, OBGYN, Dermatology, Emergency Medicine, and Hospitalists.
• Convey audit results to management.
• Schedule audit meetings with the coder/auditor to discuss results and provide strategies to improve accuracy if necessary.
• Use relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, and standards.
• Be self-motivated and able to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals.
• Participate in coding team meetings and serve as a subject matter expert.
• Maintain productivity standards for assigned work types and uphold company accuracy scores.

Qualifications

Required

• Certified coder (AAPC, AHIMA) required
• Minimum of 3 years of coding experience
• Thorough knowledge of anatomy and medical terminology
• Thorough understanding of codebook resources; CPT, HCPCS Level II, and ICD-10-CM

Preferred

• RHIT, RHIA, CCS, CCS-P, CPC, CPMA or CEMC preferred
• Inpatient ProFee experience preferred
• Knowledge of Medent, Healthpac, NextGen and Epic desired