Physician Coding Auditor

MedKoder, LLCMedical coding

Listing locations: USA; Position Location: 100% RemoteFull-TimeSenior

Salary not disclosed

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Job Details

Experience: Minimum 5 years of recent physician coding experience and 3 years of recent physician auditing experience are required.
Required Skills: Microsoft ExcelPowerPoint

Have an active, good-standing credential from an AHIMA or AAPC certification program, such as CCS-P or CPC.
Have at least 5 years of recent physician coding experience.
Have at least 3 years of recent physician auditing experience.
Bring subject matter expertise in E&M and surgical coding.
Have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT and ICD-10-CM coding guidelines, and Medicare and Medicaid billing policies for professional services.
Hold a high school diploma; an associate or bachelor's degree is preferred.
Have experience creating and implementing audit plans and educating providers one-on-one or in groups.
Be proficient with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems.
Manage multiple projects independently, meet deadlines, and demonstrate time management, research, and organizational skills.
AAPC CPMA credential is preferred but not required.
Experience with Google Workspace, remote work, multiple EMRs, and listed profee specialty areas is preferred or a plus.

Perform professional compliance audits of coding and documentation across provider types, specialties, and clients.
Apply coding and documentation guidelines, including ICD-10-CM, CPT, AHA Coding Clinics, AMA, CMS, specialty guidance, and payer policies.
Select CPT codes and modifiers and evaluate ICD-10-CM diagnosis coding.
Evaluate physician documentation, including medical necessity and documentation for split/shared, incident-to, teaching physician, FQHC, RHC, and HEDIS services.
Score audits using the appropriate methodology and identify risk areas with mitigation strategies and recommendations.
Prepare detailed audit findings and supporting documentation in customized reports.
Prepare and present audit follow-up education and customized client education remotely and on-site.
Communicate issues, trends, and audit timeline completion to the Physician Audit and Education Manager.
Stay current on coding guidelines and maintain credentials.

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