Medical Coding Quality Auditor

Socket.dev; Jacksonville (FL); On-site; USD 60,000 - 90,000; Full time

Job summary

North Florida Medical Services in Mandarin/Jacksonville, FL is seeking a Coding Auditor to conduct quality reviews of clinical and non-clinical coding staff. The role focuses on improving coding accuracy, educating providers, and identifying coding trends through retrospective reviews.

The candidate should have CPC/CCS-P credentials with CPMA within 12 months, and 2+ years of auditing experience (3+ years for senior level).

Qualifications

• Strong knowledge of Evaluation and Management and surgical coding guidelines.
• Experience with professional inpatient and outpatient medical coding and billing.
• Minimum of two years of professional inpatient and outpatient medical auditing; senior: three years.

Responsibilities

• Schedule and conduct focused retrospective quality reviews of physicians, mid-levels, and coders.
• Assure coding accuracy is monitored and education provided based on review results.
• Prepare reports for management review and identify trends.
• Ensure reviews are completed timely and feedback presented to relevant personnel.
• Assist in developing education materials on annual coding updates and guidelines.

Skills

Coding auditing

Inpatient coding

Outpatient coding

Education/training materials

Education

Associates or Bachelor's degree in healthcare

High school diploma

Job description

North Florida Medical Services (located in Mandarin/Jacksonville, FL) is a growing managementservices organization which provides revenue cycle services to multiple surgical group practices.Our growing company is in need of a Coding Auditor to help conduct quality reviews of both clinicaland non-clinical professionals. We are looking for an energetic, results driven auditor who shares our passion for process effectiveness, continuous improvement, quality, and ongoing education of ourproviders and staff members on coding matters.

Top responsibilities include:

• Works with Coding and Compliance Manager to schedule and conducts focused retrospective qualityreviews of physicians, mid-levels, and both internal and external coders.
• Works with Coding and Compliance Manager to assure coding accuracy is monitored and educationprovided based on the results of the coding reviews.
• Prepares reports for management review and identifies trends.
• Reviews are to be completed in a timely and routine manner, results, compiled, and feedbackpresented to the appropriate personnel.
• Assists the Coding and Compliance Manager with the development of education materials for allstaff on annual diagnosis and procedural coding updates, documentation and coding tips, and codingguidelines as needed.

Education & Experience:

• The Coding Auditor position requires a strong knowledge of Evaluation and Management and surgical coding and coding guidelines.
• Must have experience with professional inpatient and outpatient medical coding and billing.
• Minimum of two years of professional inpatient and outpatient medical auditing.
• Senior Coding Quality Auditor must have a minimum of three years of professional inpatient and outpatient medical auditing.

Requirements

• CPC or CCS-P required.
• Must obtain the CPMA credential within first 12 months of employment. Senior Coding QualityAuditor must already hold the CPMA credential.
• Associates or Bachelors degree in a healthcare filed preferred but not required
• High school diploma required.