Location
Birmingham, AL, United States
Posted on
Feb 03, 2022
Profile
Description
The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
As a Medical Coding Auditor for Clinical Audits with the Outpatient Coding Team you will:
Review medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines
Utilize encoders and various coding resources
Perform CPT Procedure reviews
Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information
Maintain current working knowledge of ICD-9, ICD-10 and CPT coding principles, government regulation, protocols
Required Qualifications - What it takes to Succeed
RHIA, RHIT, CCS or CPC Certification with 3 years of post-certification experience
Minimum of 3 years post certification work as a coder or auditor within Specialty Surgery and Procedures for Physician Claims
Preferred Qualifications
Bachelor's Degree- Healthcare Related
Experience with the Claims Life Cycle
Experience with coding/auditing Radiology, Gastroenterology, Urinary, Musculoskeletal, Integumentary, Anesthesia, General Surgery, Cardiology, Respiratory, Infusion, Provider Focused
Additional Information
Remote Work Requirements
Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required
Scheduled Weekly Hours
40
Company info
Sign Up Now - HealthcareCrossing.com