Medical Coding Quality Auditor

North Florida Surgeons, P.A.; Jacksonville (FL); On-site; USD 52,000 - 78,000; Full time

Job summary

North Florida Medical Services, located in Mandarin/Jacksonville, FL, seeks a Medical Coding Quality Auditor to conduct retrospective quality reviews of physicians, mid‑levels, and coders, ensuring accurate coding and education based on findings. The role emphasizes process improvement, documentation, and timely reporting.

The ideal candidate has strong Evaluation and Management and surgical coding knowledge, with 2+ years of inpatient/outpatient auditing; CPMA within 12 months is required for

Qualifications

• Strong knowledge of Evaluation & Management and surgical coding and coding guidelines.
• 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.

Responsibilities

• Works with Coding and Compliance Manager to schedule and conducts focused retrospective quality reviews of physicians, mid-levels, and both internal and external coders.
• Works with Coding and Compliance Manager to assure coding accuracy is monitored and education provided 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 feedback presented to the appropriate personnel.
• Assists the Coding and Compliance Manager with the development of education materials for all staff on annual diagnosis and procedural coding updates, documentation and coding tips, and coding guidelines as needed.

Skills

Evaluation & Management knowledge

Surgical coding knowledge

Auditing experience

Education

CPC or CCS-P

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