1099 Facility Coding Auditor

Pinnacle Healthcare Consulting LLC

68d

About The Position

The 1099 Facility Coding Auditor plays a crucial role in ensuring the accuracy and compliance of medical coding within healthcare facilities. This position involves reviewing and auditing medical records to verify that coding practices align with industry standards and regulations. The auditor will identify discrepancies and provide feedback to improve coding accuracy, which is essential for proper billing and reimbursement processes. By maintaining high coding standards, the auditor contributes to the overall quality of patient care and operational efficiency within the facility. Ultimately, this role supports the financial health of the organization while ensuring adherence to legal and ethical coding practices.

Requirements

• Certified Professional Coder (CPC) or equivalent coding certification.
• Minimum of 3 years of experience in medical coding and auditing within a healthcare setting.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.

Nice To Haves

• Experience with electronic health record (EHR) systems and coding software.
• Familiarity with healthcare compliance regulations and guidelines.
• Bachelor's degree in Health Information Management or a related field.

Responsibilities

• Conduct thorough audits of medical records to ensure accurate coding and compliance with relevant regulations.
• Identify and document discrepancies in coding practices, providing detailed reports and recommendations for improvement.
• Collaborate with coding staff and healthcare providers to educate them on coding standards and best practices.
• Stay updated on changes in coding guidelines, regulations, and industry trends to ensure ongoing compliance.
• Assist in the development and implementation of coding policies and procedures to enhance operational efficiency.

What This Job Offers

• Career Level: Mid Level