Medical Record Audit / Coding Auditor

DaMar Staffing; Miami (FL); On-site; USD 60,000 - 90,000; Full time

Job summary

DaMar Staffing seeks a Medical Record Audit / Coding Auditor in Miami, FL to help build and sustain a long-term clinical coding audit program for inpatient and outpatient activity.

Responsibilities include policy development, reviewing billing coding concerns, and identifying training needs with auditing and training managers while ensuring regulatory compliance and timely reporting.

Qualifications

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

Responsibilities

• Develop and maintain a long term clinical coding audit program for inpatient and outpatient activity.
• 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 and liaise with training and audit managers.
• Conduct routine, risk based compliance reviews of procedural and diagnosis coding/billing and medical record documentation.
• Prepare reports relative to monitoring and review activities.
• Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities.

Skills

Physician coding experience

Education

High School Diploma

Associate Degree preferred

Certified ProfessionalCoder (CPC) certification

Job description

Medical Record Audit / Coding Auditor

Miami, Florida, United States

About the Job

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