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Coding Auditor

Company: Med-Metrix
Location: Cleveland
Posted on: August 7, 2022

Job Description:

Job PurposeThe Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties, and preparing and presenting audit results.Duties and ResponsibilitiesPerform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as neededComplete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidanceProvide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending.Complete coding audits for our copartners' coding WQWork with any offsite auditorsEvaluate and report on the overall quality of physician documentation that supports selected codes most specifically but not inclusive of medical necessityAdhere to local and national coverage determinations, and CCI and payer specific editing rulesEnsure appropriate documentation and coding of split/shared services, teaching physician guidelines and any client specific quality assessment programsCompile, trend, analyze and report on all findings that do not meet all of the guidelines listed aboveUse, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsMaintain a professional attitudeOther duties as assigned by the management team

QualificationsHigh School graduate or equivalentCPC or CCS coding certification required from AHIMA or AAPCMinimum 5 years of coding experience and minimum 2 years auditing experience in a multi-specialty settingKnowledge of Microsoft Word, Outlook, ExcelMust be able to use job-related softwareSelf-starter with ability to work independentlyWorking ConditionsPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment: The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.PI187535666

Keywords: Med-Metrix, Cleveland , Coding Auditor, Accounting, Auditing , Cleveland, Ohio

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