Remote Medical Coding Auditor

Emory Healthcare; Baton Rouge (LA); Remoto; USD 65.000 - 85.000; Tempo pieno

Descrizione del lavoro

Emory Healthcare is seeking a detail-oriented Medical Coder to ensure accuracy and compliance in professional coding and documentation. You will review records, identify coding issues, and collaborate with clinicians and compliance teams to support accurate reimbursement.

The role includes conducting audits, providing education on coding standards, and staying current with ICD-10, CPT, HCPCS guidelines. Remote with state eligibility requirements.

Competenze

• High school diploma or equivalent.
• Two years of post-secondary education in a business or medical-related field preferred.
• Two years of experience in medical billing or coding; management experience preferred.
• Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H).

Mansioni

• Ensures the accuracy, completeness, and compliance of medical coding and documentation for professional coding services.
• Reviews patient records, clinical documentation, and coded data to identify discrepancies and coding issues.
• Works with healthcare providers, coders, and compliance teams to support accurate professional coding practices.
• Supports appropriate reimbursement and mitigates compliance risks through detailed coding reviews.
• Conducts comprehensive chart reviews to evaluate coding accuracy and documentation quality.
• Evaluates provider documentation to ensure appropriate coding and regulatory compliance.
• Participates in routine audits to maintain high standards of coding accuracy and compliance.
• Provides education and training to healthcare professionals regarding coding standards and documentation improvement.
• Analyzes coding data to identify trends and improvement opportunities.
• Generates audit reports summarizing findings and recommendations.

Conoscenze

Medical terminology

Regulatory compliance

Healthcare documentation

Attention to detail

Data analysis

Written communication

Formazione

High school diploma or equivalent

Post-secondary education in business or medical field

Coding certification (AAPC/AHIMA)

Strumenti

Electronic Health Record (EHR) systems

Coding software

Descrizione del lavoro

Emory Healthcare is seeking a detail-oriented Medical Coder to ensure accuracy and compliance in professional coding and documentation. You will review records, identify coding issues, and collaborate with clinicians and compliance teams to support accurate reimbursement.

The role includes conducting audits, providing education on coding standards, and staying current with ICD-10, CPT, HCPCS guidelines. Remote with state eligibility requirements.