Medical Record Audit / Coding Auditor

CRD Careers; Miami (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare services organization is seeking a Medical Record Audit / Coding Auditor to oversee the development of a clinical coding audit program. The role involves conducting compliance reviews, training coding associates, and ensuring adherence to coding regulations. Candidates must have at least five years of experience in physician coding and be a certified professional coder. This job offers an opportunity to impact billing accuracy and training processes within the organization.

Qualifications

• Certified professional coder is a must.
• Five years of hands-on experience in physician coding is necessary.

Responsibilities

• Develop and implement clinical coding audit policies.
• Review and communicate findings on billing coding complaints.
• Conduct compliance reviews on coding and billing documentation.

Skills

Certified professional coder

Five years of experience in physician coding

Education

High School diploma required, Associate Degree preferred

Job description

About the job Medical Record Audit / Coding Auditor

OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida

IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity.

• To develop and Implement policies to support the clinical coding audit function
• Receive, review and communicate findings on patient billing coding related complaints.
• Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified
• Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers
• Prepare reports as required relative to these monitoring and review activities.
• Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities.
• Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations.

TO SUCCEED IN THIS ROLE, YOU HAVE:

• High School diploma required, Associate Degree preferred;
• Must be a certified professional coder;
• Minimum five years hands-on experience in physician coding