CRD
About the job: Medical Record Audit / Coding Auditor
OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida.
IN THIS ROLE, you will be responsible for assisting in the development, undertaking, and maintenance of a comprehensive, long-term clinical coding audit program for inpatient and outpatient activities.
Develop and implement policies to support the clinical coding audit function.
Receive, review, and communicate findings on patient billing and coding-related complaints.
Identify training needs through the audit program and liaise with the clinical coding training manager and audit manager to provide necessary training.
Conduct routine, risk-based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers.
Prepare reports related to monitoring and review activities.
Collaborate with coding and billing associates to ensure compliance with coding, billing, monitoring, and review activities.
Monitor, communicate, and conduct educational sessions regarding updates to coding and documentation rules and regulations.
TO SUCCEED IN THIS ROLE, YOU HAVE:
High school diploma required; associate degree preferred.
Must be a certified professional coder.
Minimum of five years of hands-on experience in physician coding.
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