Job Description

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Coding Auditor - Professional

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Department: Physician coding
Hours: Full-Time, 40 hours a week required
Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire
Pay: Based one experience, starting at $23.87/hour
Location: Remote or onsite: At this time, you must reside in one of the following locations:
Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas
Responsibilities
Assists coders with coding questions., Conducts the collection and

reporting of provider and

coder audit results and

education. Works with coders

and providers to ensure

appropriate documentation for

clinic services. Reports results

to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of

having 95% of diagnoses and

procedures appropriately

and/or correctly coded.

Ensures data quality and

optimum reimbursement

allowable under the federal

and state payment systems., Refers trend patterns of

coding and documentation to

Coding Supervisor -

Professional., Responsible for coding quality

audits for E/M Audit Program.

Analyze and confirm assigned

encounters for provider's

selection of EM code level

utilizing EM code level

selection auditing tool are

accurate. Analyze and

confirm assigned encounters

for coder's selection of

diagnoses and procedures

codes are accurate., Reviews record thoroughly to

ascertain all

diagnoses/procedures. Codes

all diagnoses/procedures in

accordance to ICD-CM and CPT

coding principles, official

guidelines and regulations., Trains new coding staff on

coding systems and processes.
Requirements
High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year) - Sarah Bush Lincoln
Compensation
Estimated Compensation Range
$23.87 - $37.00
Pay based on experience