Coding Auditor Health Information Management Reno/NV - Altamonte Springs, United States - Inteletech Global Inc.

Description

Benefits: 401(k) 401(k) matching Health insurance Job DescriptionThe Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing provider's diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions.

The role of the auditor is to educate providers performing services in clinic base and hospital setting in ensuring documentation meets the reporting requirements of a legal medical record supporting medical necessity in adherence with payer requirements with billed charges.

The auditor acts as liaison and works in conjunction with the Revenue Cycle teams reviewing claim denials with provider follow-up requests.

Provides physician/clinical allied health providers with educational topics based on claim denials, trends, and external auditing outcomes.

Coordinates audits, provider follow-up meetings, and supports the clinic-based management teams with coding education questions/reviews with presentation material and conference meetings.

Coordinates with third-party vendor auditing portal sites in exporting audits with provider follow-up emails/conference meetings. Assists with on-boarding of new staff with Epic professional billing work queues. Provides general coding coverage when required and other duties assigned in work from home position.
Qualifications1. Completion of college level coursework in ICD-10-CM and CPT coding, anatomy and physiology, and medical terminology2. Minimum of three (3) years' experience in auditing claim denial reviews for provider base charges/billing3. Experience with provider training background, preferred4.

Minimum three (3) years' experience in professional E/M clinic base coding/billing with charge-entry in demonstrating knowledge in the principals and practices of ICD-10-CM diagnosis and HCPCS reporting for all settings5.

Technical aptitude for resolving basic PC hardware and software application problems with ability to perform basic troubleshooting6. Strong communication skills with technical knowledge with conference meetings7. Proficient with Excel, Word, and Outlook.8. Demonstrated ability to work productively, accurately, and independently with minimal supervision or assistance from coworkers9. Comprehensive analytical and problem solving skills in compiling statistical data10. Knowledge of Medicare's National Correct Coding initiative (NCCI) edits in reporting correct methodologies11.

Ability to interact well with all levels of employees and physicians throughout the organizationLicense/Certification/Registration RequirementsAAPC Certified Professional Coder (CPC) requiredAAPC Certified Risk Adjustment Coder (CRC) and Certified E/M Coder/Auditor (CEMC or CPMA), preferred Compensation: $ $43.00 per hour About UsWe're more than Software Company with a creative side.

We're a full-service creative studio with a serious technology background. We take a holistic view of sales and marketing, building digital brands that deliver real value to our client.

As a marketing agency, our innovative digital strategies grab and hold people's attention, and produce the communication and organizing tools needed for success.

With a mix optimized to the specific goals of each client and the character of their target customer demographics, we provide true integration across media platforms and channels.

Our VisionInteletech Global, Inc provides consulting services to assist clients with their ongoing demand for changing IT environments. The early 2000s were an exciting time for IT. Digital technology was transforming our lives, and with each innovation, it became clear that digital was the future.
We use our Global Delivery Model for the success of every engagement. Improve effectiveness and efficiency of IT application environments by adopting re-usable software platforms.

Our onsite teams work directly with our clients to understand and analyze the current-state of problems and design specifically tailored conceptual solutions.