Medical Coding Auditor

The US Oncology NetworkSt. Paul, MN
5d$75,000 - $95,000

About The Position

Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources

Requirements

  • High School diploma or GED, Associate’s or Bachelor's degree in Health Information Management or related healthcare field preferred.
  • 7+ years of billing, coding, and medical records experience.
  • Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits.
  • Must possess a strong knowledge of current versions of ICD, CPT and HCPCS.
  • Strong math skills and attention to detail;
  • Excellent oral and written communication skills;
  • Excellent organizational and follow-up skills;
  • Ability to work independently;
  • Ability to independently research issues and apply laws & standards.

Nice To Haves

  • CPC certification is highly desired.

Responsibilities

  • Performs EMR chart audits for medical or radiation oncology physicians/providers and surgeons in accordance with USON requirements to ensure medical records are commensurate with captured charges and billing.
  • Works directly with providers to train and advise on optimal supporting documentation for reimbursement.
  • Identifies coding and documentation trends that could be perceived as non-compliance with local and federal regulatory guidelines.
  • Identifies opportunities for procedural improvements and training. Provides written audit report to supervisor for review and approval.
  • Reviews approved audit findings with physicians and providers to discuss recommendations and improvement opportunities.
  • Collaborates with Health Information Management (HIM), CDI, and billing teams to resolve documentation and coding issues.
  • Maintains detailed records of audits, findings, and corrective actions in accordance with organizational and regulatory requirements
  • Maintains the confidentiality of medical information contained in each record.
  • Completes other reasonably related duties as assigned.

Benefits

  • Medical
  • Dental
  • Vision
  • Free Life Insurance
  • Generous Paid Time Off (PTO) Plan
  • Free Short-term and Long-term Disability Coverage
  • 401k plan with company contribution
  • Wellness program that rewards your healthy lifestyle
  • Tuition Reimbursement
  • Employee Assistance Program and Discount Program to some of your favorite retailers
  • Free Parking
  • Career Growth and Development
  • Supportive Team and Resources
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