We are looking for a highly skilled and detail-oriented Auditor to join our medical coding team
As an Auditor, you will play a crucial role in ensuring the accuracy, completeness, and compliance of our medical coding processes
Your primary responsibility will be to perform comprehensive audits of medical records, coding practices, and documentation to identify potential errors, discrepancies, and opportunities for improvement
Your expertise in medical coding guidelines, regulations, and industry best practices will be essential to maintain the highest standards of coding accuracy and compliance within our healthcare organization
Responsibilities
Perform regular audits of medical coding processes, ensuring adherence to established coding guidelines, including ICD-10, CPT, HCPCS, and any relevant local, state, and federal regulations.
Review coded medical records, claims, and supporting documentation to identify coding inaccuracies, discrepancies, and potential compliance issues.
Analyse audit findings and prepare detailed reports outlining coding errors, discrepancies, and potential risks.
Stay up-to-date with changes in coding regulations, payer policies, and industry trends to ensure our coding practices align with the latest requirements.
Provide guidance and support to the coding team in adhering to coding guidelines and maintaining compliance with all relevant regulations.
Recommend and implement process improvements, best practices, and coding training initiatives to elevate the overall quality of the coding department.
Conduct regular training sessions for coding team members to update them on coding guidelines, regulatory changes, and industry updates.
Track and report on coding accuracy and productivity trends.
Skills/Experience
Bachelor s degree in Lifesciences, Healthcare Administration, or related field.
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification is required.
Proven experience as a Medical Coder with a strong background in auditing medical coding processes.
In-depth knowledge of medical coding guidelines, including ICD-10, CPT, HCPCS, and relevant regulatory requirements.
Strong analytical skills with the ability to identify coding inaccuracies and patterns from medical records and claims data.
Detail-oriented and meticulous in conducting audits and preparing reports.
Excellent communication skills to effectively communicate audit findings and recommendations to team members.
Proficiency in using coding software and electronic health record (EHR) systems.
