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Auditor Medical Coding

MedConverge Healthcare Services


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0-2 Years
3 months ago
149 Viewed
13 Applied

Job Description

  • We are looking for a highly skilled and detail-oriented Auditor to join our medical coding team
  • As an Auditor, you will play a crucial role in ensuring the accuracy, completeness, and compliance of our medical coding processes
  • Your primary responsibility will be to perform comprehensive audits of medical records, coding practices, and documentation to identify potential errors, discrepancies, and opportunities for improvement
  • Your expertise in medical coding guidelines, regulations, and industry best practices will be essential to maintain the highest standards of coding accuracy and compliance within our healthcare organization

  • Perform regular audits of medical coding processes, ensuring adherence to established coding guidelines, including ICD-10, CPT, HCPCS, and any relevant local, state, and federal regulations.
  • Review coded medical records, claims, and supporting documentation to identify coding inaccuracies, discrepancies, and potential compliance issues.
  • Analyse audit findings and prepare detailed reports outlining coding errors, discrepancies, and potential risks.
  • Stay up-to-date with changes in coding regulations, payer policies, and industry trends to ensure our coding practices align with the latest requirements.
  • Provide guidance and support to the coding team in adhering to coding guidelines and maintaining compliance with all relevant regulations.
  • Recommend and implement process improvements, best practices, and coding training initiatives to elevate the overall quality of the coding department.
  • Conduct regular training sessions for coding team members to update them on coding guidelines, regulatory changes, and industry updates.
  • Track and report on coding accuracy and productivity trends.
  • Bachelor s degree in Lifesciences, Healthcare Administration, or related field.
  • Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification is required.
  • Proven experience as a Medical Coder with a strong background in auditing medical coding processes.
  • In-depth knowledge of medical coding guidelines, including ICD-10, CPT, HCPCS, and relevant regulatory requirements.
  • Strong analytical skills with the ability to identify coding inaccuracies and patterns from medical records and claims data.
  • Detail-oriented and meticulous in conducting audits and preparing reports.
  • Excellent communication skills to effectively communicate audit findings and recommendations to team members.
  • Proficiency in using coding software and electronic health record (EHR) systems.

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