Auditor Jobs

About The Position

Requirements

• Associate’s Degree required in a health care related field.
• Minimum of 6 years of professional coding experience and demonstrated knowledge of complex service lines.
• Additional 2 years progressive and in-depth multispecialty professional services coding and/or auditing experience in assignment of diagnostic and procedural/surgical coding.
• 5 years extensive auditing experience with demonstrated ability to provide effective analytical problem solving.
• 2 + years of multispecialty professional services coding experience assigning evaluation & management codes.
• 2 years experience with project management functions and presenting education and training feedback to small and large groups, especially to physicians or other clinical providers.
• Advanced proficiency in use of Microsoft Office Suite of products and other software programs to document and manage audit data.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS), Certified Coding Specialist (CCS-P), Certified Professional Medical Auditor (CPMA) or Certified Professional Coder (CPC) required.
• Certified Professional Medical Auditor (CPMA) or other specialty-specific certifications must be obtained within 2 years of position start date: Ambulatory Surgical Center – CASCC, Anesthesia and Pain Management – CANPC, Cardiology – CCC, Cardiovascular and Thoracic Surgery – CCVTC, Dermatology – CPCD, Emergency Department - CEDC, Evaluation and Management – CEMC, Family Practice – CFPC, Gastroenterology – CGIC, General Surgery – CGSC, Hematology and Oncology – CHONC, Interventional Radiology and Cardiovascular – CIRCC®, Obstetrics Gynecology – COBGC, Ophthalmology – COPC, Orthopaedic Surgery – COSC, Pediatrics – CPEDC, Rheumatology – CRHC, Urology – CUC.

Nice To Haves

• Bachelor’s Degree preferred.

Responsibilities

• Provide training, consultation, audit and coordinated feedback to clinicians on their medical service documentation and coding.
• Ensure Mayo Clinic receives appropriate reimbursement and conforms to applicable guidelines and regulations.
• Perform medical record audits to ensure compliance with all applicable coding regulations and organizational standards, practices, policies, and procedures.
• Provide elbow-to-elbow coding and documentation support through ad hoc phone calls, site visits, the creation of specialty or individual provider tip sheets, virtual and on-site presentations.
• Serve as subject matter expert with specialty-specific knowledge of surgical, E&M, diagnosis coding & documentation.
• Analyze data, communicate findings, and facilitate improvement efforts.
• Independently develop and maintain educational materials and training programs.
• Work in conjunction with the clinical practice managers and production coding leadership teams.