Physician Coder/Auditor

FroedtertSouth • Kenosha, WI

11d

About The Position

Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions.

Requirements

• High School or Equivalent (GED)
• 1-3 years experience
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P)
• Knowledge of CPT and ICD-10 codes
• Ability to accurately audit provider documentation to ensure all CPT codes and ICD-10 codes are accurately assigned
• Ability to communicate findings by way of written reports and via verbal communication with provider(s) and management staff
• Proficient computer and typing skills and familiarity with Microsoft programs such as Word and Excel
• Ability to understand and interpret policies and regulations
• Ability to read and interpret clinical documentation
• Ability to write, hear, and speak the English language

Nice To Haves

• MINIMUM EXPERIENCE PREFERRED

Responsibilities

• Conducting internal monitoring and auditing of provider documentation.
• Communicating audit findings to the provider(s), and/or appropriate management staff by way of written or verbal reports.
• Monitoring provider’s compliance with the auditing program and reporting noncompliance to the appropriate individual.
• Reviewing all insurance guidelines to ensure coding/documentation compliance.
• Acting as a resource for Physicians’ Billing and Clinic staff with issues related to documentation and/or compliance.
• Interacting with physicians to clarify diagnoses or procedures.
• Seeking out resources, including appropriate management staff, for questions or other issues.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED