The HCC Auditor/Coder’s primary objective is to continually improve providers’ reporting and documentation of chronic health care conditions. This is done through auditing providers’ patient medical records and providing education on best coding practices. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Interface effectively with physicians and office staff on coding issues. Research coding questions as needed. Code review a wide variety of document types, i.e., Primary and specialty care medical records, mental health, substance abuse, in-patient, out-patient, non-submittals (lab), ancillary and pharmaceutical services for HCC values. Perform both provider office audits and on-line audits via reviewing patient medical records. Provide education to provider and staff on office audit findings. Communicate best coding practices. Consistently meet productivity and quality standards as outlined by supervisor. Generate MS Excel spreadsheets for various projects with the primary focus on tracking activities. Make internal and external phone calls to other departments and provider offices as needed. Learn software programs essential to the HCC department such as iCode, EZCap and Access Express. Also learn the HCC model. Upload medical records via our internal software program iCode. Research and correspond with our providers to obtain correct diagnosis coding as generated from internal and external error reports. Present educational material to providers. Perform photocopy services. Perform scanning services. Perform faxing services.
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Career Level
Mid Level
Education Level
High school or GED