Coder Quality Auditor
New
Australia, Canada, India, United Kingdom, United StatesFull-TimeMiddle
SalaryUSD 57400 - 99000 / year
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Job Details
- Languages
- English
- Experience
- 5+ years of coding experience; 3+ years of auditing experience
- Required Skills
- Microsoft OfficeHIPAA
Requirements
- 5+ years of coding experience.
- 3+ years of auditing experience.
- Proficiency in multiple EMR systems, encoders, and Microsoft Office.
- Knowledge of HIPAA regulations and patient confidentiality requirements.
- Ability to interpret medical and surgical terminology.
- Strong written and verbal communication skills in English.
- Associate degree or equivalent professional experience.
- Current professional certification (CPC, CPMA, CCS, CCS-P, RHIA, or RHIT required).
- Ability to organize and complete work in a timely manner.
- Inquisitive mindset with openness to AI-driven process innovation.
Responsibilities
- Monitor and audit inpatient and outpatient physician coding.
- Perform baseline and quarterly quality assurance reviews.
- Assess educational needs of coding staff and develop learning materials.
- Assist operational coding team with edits, denials, and appeals.
- Train new and existing staff on systems, processes, and procedures.
- Serve as a technical resource for professional fee coding standards and guidelines.
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