- Responsible for conducting audits according to the Internal Audit Program standards and specifications.
- Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions.
- Interacts with physicians, APPs, coders, and other appropriate staff regarding billing and documentation policies, procedures, and regulations. Conducts audit presentations and on-demand trainings of providers (future).
- Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding.
- Completes online education courses and attends mandatory coding workshops and/or seminars (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding.
- Reviews AHA and CPT quarterly coding update publications.
- Attends all internal conference calls for Quarterly Coding Updates.
- Other duties as assigned.
- Associate's degree or equivalent work experience.
- 2 years of professional coding experience, 2 years of auditing preferred.
- CPMA certification required.
- CPC certification required.
- Must be proficient with Microsoft Excel and other Microsoft Office applications.
- Smartsheet experience preferred.
- Desired skills: eCW proficiency, ancillary coding/billing, and facility coding/billing.
- Self-starter
- Detail Oriented
- Perform repetitive work according to set procedures
- Organized and capable of working in a fast-paced environment
- Analytical Thinker
- Adaptable
- Reliable
- Strong inter-office communication, excellent written and oral communication skills including public
speaking - Ability to use different PM and EHR systems
- Must be able to maintain confidentiality
- Work independently and follow through on assignments with minimal direction
- Excellent Judgement & Decision Making
-
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Medical Coding Auditor - Miami, United States - Gastro Health
Description
About the Medical Coding Auditor positionWe are looking for a skilled Medical Coding Auditor to join our revenue cycle department and will be responsible for conducting audits according to the Internal Audit Program standards and specifications.
A successful candidate should be highly responsible and keep close attention to detail. We also expect you to be good in supervised teamwork and able to meet tight deadlines.
Medical Coding Auditor responsibilities are:
We thank you for your interest in joining our growing Gastro Health team
