Coding Auditor - 3147 S 17th St - Full Time

Wilmington Health PLLCWilmington, NC
2hOnsite

About The Position

Purpose: The Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations.  Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure compliance Conducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee, Physician Board and others as appropriate  Provides feedback and instruction to the Provider regarding documentation improvements, to include EHR best practices

Requirements

  • High school diploma or equivalency
  • CCS-P or CPC
  • AAPC or AHIMA certification

Nice To Haves

  • Previous auditing experience
  • 3-5 years of medical coding or documentation experience

Responsibilities

  • Serve as a compliance resource for all coding regulations for provider services
  • Assist in formulating policies and procedures regarding coding and documentation to ensure consistency and compliance across all clinic departments
  • Interact with Providers and clinic staff to ensure quality and consistency with coding and documentation policies
  • Perform quality internal audits
  • Education and training of clinic staff and Providers on documentation and coding compliance issues
  • Review and update current year procedural and diagnosis codes on an annual basis
  • Other duties as assigned
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