Coder, Auditing (PRN)

Duties and Responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews.

• Help create and review provider queries to resolve documentation discrepancies.

• Support manager with providing education regarding appropriate documentation and code applications.

• Perform quality assessment of records, including verification of medical record documentation.

• Review appropriate charges and make changes or recommendations based on the documentation.

• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.

• Assist with organizing and maintain auditing logs for multiple clients and people.

• Create executive summaries based on findings, including recommendations for next steps.

• Be comfortable working with executives, physicians, and members of the C-suite.

Knowledge, Skills, and Abilities:

• Must have facility, professional, and critical access auditing experience and ideally be exposed to observation hours, injections, and infusion code assignment.

• Must be able to assist in educating coders, providers, and clinical staff.

• Must be comfortable working with AR teams to resolve issues.

• Must be able to pass a coding assessment.

• Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.

• Ability to multi-task and have excellent communication skills.

• Must meet and maintain a 95% quality accuracy rate and productivity standards.

• Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.

• Must have experience working in a remote environment.

Originally posted on Himalayas