ProFee Coding Auditor - Multispecialty

Managed Resources, Inc.; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

A leading medical coding support provider is seeking a Professional Coding Auditor. This role involves auditing medical records for accuracy and compliance, requiring 5-7 years of experience and appropriate certifications. The position offers opportunities for remote work, emphasizing strong communication and organizational skills.

Qualifications

• Minimum 5-7 years auditing CPT, E/M, HCPCS, ICD-10-CM codes.
• Must have advanced knowledge in at least 10 surgical and medical specialties.
• Experience using audit software and knowledge of coding rules.

Responsibilities

• Audit E/M, CPT, HCPCS, ICD-10-CM from medical records.
• Provide written feedback of audit results.
• Ensure compliance with regulations and standards.

Skills

Excellent oral and written communication skills

Excellent time management

Organizational skills

Education

CPC or CCS-P certification

CPMA or equivalent audit credential

Tools

Audit software

Microsoft Excel

Electronic Medical Record (EMR) systems

Job description

Professional Coding Auditor: Multispecialty, E/M
Full time,Remote

CodingAID, a division of Managed Resources Inc. is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. We’re proud to have served healthcare organizations and medical groups for over 30years with proven success in meeting their operational challenges. Learn more about our mission and visionhere.

Purpose:

The primary responsibility of the Professional Auditor is to audit CPT, HCPCS, ICD-10-CM, Modifiers, Units and identify documentation and coding discrepancies and improvements based on medical record documentation.

Essential Job Functions:

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  Audit all E/M, CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documentation.
  

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  Enter audit data into audit software or other audit report.
  

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  Evaluate the overall quality of physician documentation for quality improvement measures.
  

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  Perform accurate coding using applicable guidelines and client protocols.
  

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  Communicate with client and/or providers as needed (i.e. coding clarification, missing documentation, etc.)
  

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  Provide written feedback of audit results in the form of chart level comments, summary findings and recommendations.
  

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  Communicate with Project Manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.).
  

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  Track and enter time accurately and timely into our timekeeping system.
  

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  Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities
  

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  Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
  

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  Other duties as assigned
  

Education and Experience:

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  Must have one of the following current credentials from AAPC or AHIMA; CPC, CCS-P
  

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  A minimum of five - seven years’ experience required auditing CPT, E&M, HCPCS and ICD-10-CM codes.
  

• 
  CPMA or equivalent audit credential.
  

• 
  Requires advanced technical knowledge in a minimum of 10 surgical and medical specialties as assigned.
  

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  Extensive knowledge of medical terminology.
  

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  Experience in researching and applying coding rules and regulations.
  

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  Experience working in an audit software tool.
  

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  Proficiency in Microsoft Excel, Word, and various EMR (Electronic Medical Record) systems.
  
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  Excellent oral and written communication skills.
  
• 
  Excellent time management and organizational skills.
  

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  Have a positive, respectful attitude.
  
  CodingAID, a division of Managed Resources Inc., is an Equal Opportunity Employer (EOE) M/F/D/V/SO
  

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