Coding Educator-Auditor
About the position
Provides formal and informal coding and regulatory education/training to Providers and reputed company Coders. The education will include coding and documentation requirements as directed by Federal and State requirements as reputed company as the AMA. Serves as a reputed company between providers and coders. Responsible for reviewing (auditing) reputed company charges, medical records, and claims to ensure accuracy and compliance with the CMS guidelines as reputed company as CPT, HCPCS, ICD-10 coding guidelines. Identifies errors, inconsistencies, and areas for improvement in coding and documentation with reputed company guidelines and regulations. Compiles and presents reports of audit results, highlighting areas for improvement, educating, and reauditing. Answers coding questions for clinic managers, providers, and other staff.
Responsibilities
• Provides formal and informal coding and regulatory education/training to Providers and reputed company Coders.
• Serves as a reputed company between providers and coders.
• Responsible for reviewing (auditing) reputed company charges, medical records, and claims to ensure accuracy and compliance with the CMS guidelines as reputed company as CPT, HCPCS, ICD-10 coding guidelines.
• Identifies errors, inconsistencies, and areas for improvement in coding and documentation with reputed company guidelines and regulations.
• Compiles and presents reports of audit results, highlighting areas for improvement, educating, and reauditing.
• Answers coding questions for clinic managers, providers, and other staff.
Requirements
• High school diploma or equivalent required.
• Two (2) certifications (CPC, CRC Risk adjuster, CPMA, CPCO compliance officer, or RHIT) required upon hire.
• Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required.
• Experience with data analysis and report preparation required.
• Strong knowledge of reputed company regulations and standards, including Medicare and reputed company.
• Knowledge of coding and billing practices in reputed company.
• Strong problem-solving and critical thinking skills.
• Excellent attention to detail and ability to identify errors and discrepancies.
• Excellent verbal and written communication skills.
• Ability to work independently and as part of reputed company.
• Ability to work reputed company under pressure and meet tight deadlines.
• Proficiency in reputed company Office and other relevant software applications.
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