Medical Coding Quality Auditor

Nflsurgeons; Jacksonville (FL); On-site; USD 60,000 - 85,000; Full time

Job summary

North Florida Medical Services, located in Mandarin/Jacksonville, FL, is seeking a Medical Coding Quality Auditor to lead retrospective quality reviews of physicians and coders. The role emphasizes coding accuracy and ongoing education, reporting findings to management, and collaborating with the Coding and Compliance Manager.

Requirements include CPC/CCS-P or CPMA credentials, with CPMA preferred within 12 months.

Qualifications

• 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 role requires three years.

Responsibilities

• Schedule and conduct focused retrospective quality reviews of physicians, mid-levels, and coders.
• Ensure coding accuracy is monitored and education provided based on review results.
• Prepare management reports and identify trends.
• Ensure timely completion of reviews, with results compiled and feedback delivered to appropriate personnel.
• Develop education materials for staff on annual coding updates and guidelines.

Skills

Medical coding

Auditing

Quality assurance

Education materials

Education

CPMA credential

CPC or CCS-P

Healthcare degree (Associate/Bachelor)

Job description

Position:Medical Coding Quality Auditor

Location: Jacksonville, FL

Job Id:535

# of Openings:1

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 sharesour 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