Medical Coding Auditor

Professional Performance Development Group, Inc; Bethesda (MD); Vor Ort; USD 65.000 - 85.000; Vollzeit

Zusammenfassung

Professional Performance Development Group, Inc is seeking a Medical Coding Auditor in Bethesda, MD. The ideal candidate will have at least 3 years of experience in medical coding and auditing, with required certifications from AAPC or AHIMA. Responsibilities include auditing medical records, providing coder training, and ensuring compliance with regulatory standards. Strong knowledge of coding guidelines, effective communication, and analytical skills are essential for success in this role.

Qualifikationen

• Certification required in medical coding from AAPC or AHIMA.
• Strong knowledge of coding guidelines and compliance standards.
• Minimum of 3 years experience in medical coding and auditing.

Aufgaben

• Audit coded medical records for compliance and accuracy.
• Provide training and feedback to coding staff.
• Prepare comprehensive audit reports.

Kenntnisse

ICD-10 knowledge

CPT knowledge

HCPCS knowledge

Communication skills

Analytical skills

Training skills

Ausbildung

AAPC Certification (CPC-H, CPC-P, CPMA) or AHIMA Certification (RHIA, RHIT, CCS-P)

Tools

Coding/auditing software

Office tools

Jobbeschreibung

Medical Coding Auditor - Ambulatory

Location: Supporting Walter Reed National Military Medical Center (Bethesda, MD)

Schedule: Mon–Fri, 7:30 AM–4:30 PM (subject to change)

Overview:

Seeking an experienced medical coding professional to audit, train, and ensure compliance for outpatient and inpatient coding operations.

Qualifications:

• Certification required: AAPC (CPC-H, CPC-P, CPMA) or AHIMA (RHIA, RHIT, CCS-P).
• Strong knowledge of ICD-10, CPT, HCPCS, coding guidelines, and compliance standards.
• Expertise in medical terminology, records management, and auditing principles.
• Familiarity with DoD/MHS systems and confidentiality regulations.
• Excellent communication, analytical, and training skills.
• Proficient with coding/auditing software and office tools.

Experience:

• 3+ years of medical coding across multiple specialties.
• 3+ years of auditing and supervisory experience (DoD preferred).
• Experience with ambulatory/outpatient surgery coding strongly preferred.

Key Responsibilities:

• Audit coded medical records for accuracy and compliance.
• Resolve discrepancies and support performance improvement.
• Provide training and feedback to coders and providers.
• Prepare reports and maintain audit documentation.
• Ensure adherence to regulatory and organizational standards.
• Track time and reporting via DMHRSi system.

Additional Duties:

• Complete required training and submit regular summaries.
• Maintain accurate logs, reports, and audit submissions.

This role requires strong attention to detail, independent judgment, and the ability to train and lead coding staff.