Coder Auditor-Professional

Sarah Bush Lincoln•Remote Office - IL, IL

10d•$24 - $37•Remote

About The Position

Coder Auditors-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.

Requirements

High School Diploma
CPC
CEMA within 6 months of hire
CPMA within 1 year of hire
Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association

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.