Medical Coding Auditor - Surgery Coding

This role is for a highly skilled Medical Coding Auditor with a specialization in Surgery Coding. The successful candidate will be responsible for meticulously auditing medical records to ensure the accuracy and compliance of assigned diagnosis and CPT codes. This position requires a strong understanding of surgical coding guidelines, a commitment to quality, and a proactive approach to continuous improvement.

Responsibilities

• Perform a variety of activities involving the audit of medical records coding, ensuring accurate diagnosis and CPT code assignment as per ICD-10 and CPT-4 systems.
• Conduct both coding and auditing for Outpatient and/or Inpatient records, maintaining a minimum of 96% accuracy and meeting all turnaround time requirements.
• Consistently exceed productivity standards as per the norms for inpatient and/or specialty-specific outpatient coding.
• Maintain a high degree of professional and ethical standards.
• Focus on continuous improvement by working on projects that enable customers to prevent revenue leakage while ensuring compliance with standards.
• Continuously update coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.

Skills

• Expertise in medical coding systems, including CPT-4, ICD-9, ICD-10, and HCPCS coding.
• Strong understanding of coding procedures and medical terminology in an ambulatory setting.
• Proficiency in medical coding audit methodologies.
• Excellent analytical skills for identifying coding discrepancies and areas for improvement.
• Strong knowledge of medical and billing systems, regulatory requirements, auditing concepts, and principles.
• Commitment to high accuracy and productivity.

Qualifications

• Graduates in life sciences with relevant experience in Surgery coding.
• Experience in Medical Coding Audit and Physician Education, preferably in Surgery Coding, will be a plus.
• A current coding certification with valid proof is a must.
• A CCS, CPC, CPC-H, CIC, or COC certification from AAPC /AHIMA is a plus.