E M Auditor Educator - Clinic
About The Position
Under the direction of the Coding Manager, works directly with employed and contracted Providers in providing coding and documentation education for assigning appropriate Evaluation & Management (E&M) and diagnosis codes, as well as scheduled reviews. The E&M Auditor/Educator will be responsible for evaluating medical record documentation and trends to optimize reimbursement by ensuring that the diagnostic and procedural codes and documentation accurately reflect and support the encounter, and to ensure that data comply with legal standards and guidelines. This position will work closely with the Coding Leadership Team to resolve documentation and/or compliance issues. This position requires regular travel to Provider offices within Northwest Indiana, but offers hybrid options as well.
Requirements
- High School graduate (or GED equivalent) required; Associates degree preferred.
- 3-5 years professional coding experience required.
- Evaluation and management auditing experience required.
- Possess and maintain active CPC, RHIT, or CCS-P certification. CPMA preferred.
- Possess in-depth knowledge of the current CPT, ICD, and HCPCS coding systems.
- Possess in-depth knowledge of Evaluation and Management documentation and coding guidelines as well as government guidelines.
- Must be proficient in Microsoft office products.
- Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer.
- Must demonstrate effective verbal and written communication skills and problem solving skills.
- Display attention to detail and problem solving skills.
- Able to effectively and diplomatically teach others.
Nice To Haves
- Associates degree
- CPMA certification
Responsibilities
- evaluating medical record documentation and trends
- optimize reimbursement
- ensuring that the diagnostic and procedural codes and documentation accurately reflect and support the encounter
- ensure that data comply with legal standards and guidelines
- resolve documentation and/or compliance issues
- providing coding and documentation education for assigning appropriate Evaluation & Management (E&M) and diagnosis codes, as well as scheduled reviews
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What This Job Offers
Job Type
Full-time
Industry
Ambulatory Health Care Services
Education Level
High school or GED
Number of Employees
11-50 employees
