Medical Coder Auditor/Educator
USFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 3–5 years
- Required Skills
- HIPAA
Requirements
- Certified Professional Coder (CPC) or Certified Coding Specialist–Physician (CCS-P) certification in active status.
- 3–5 years of experience in physician practice or healthcare administration.
- Strong exposure to CPT-4, ICD-10 coding, and revenue cycle processes.
- Solid understanding of medical terminology, billing workflows, and accounts receivable processes.
- Experience interpreting complex clinical documentation and translating technical guidelines into clear, actionable guidance.
- Strong communication and presentation skills.
- Proficiency with EHR/EPM systems (e.g., NextGen), Excel, Word, PowerPoint, and virtual meeting platforms.
- Strong analytical thinking skills.
Responsibilities
- Review clinical documentation and medical records to ensure compliance with CPT, ICD-10, CMS, AMA/AAP guidelines, and internal coding policies.
- Conduct coding audits and identify documentation gaps, compliance risks, and opportunities for improvement.
- Deliver education and training sessions to physicians, coders, and staff on accurate coding practices and documentation standards.
- Develop, update, and maintain standardized audit tools, educational materials, and templates approved by compliance committees.
- Respond to coding inquiries, dispute resolutions, and clarification requests through established communication channels.
- Participate in audit and education initiatives, team meetings, and process improvement projects to enhance coding quality and consistency.
- Ensure timely completion of assignments while maintaining strict confidentiality in compliance with HIPAA and organizational policies.
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