Job Information
ICONMA, LLC Coding and Billing Auditor in United States
Our Client, a Healthcare company, is looking for a Coding and Billing Auditor for their Dover, DE location. Responsibilities:
Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to Client coding and billing staff.
Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits.
Audits medical records for accurate CPT coding assignment.
Maintains audit lodge for Client
Compiles reports with an analysis of findings from the medical record audits.
Ensures the selected CPT code supports the clinical documentation contained in patient record.
Consistently meets established productivity targets for record audits.
Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
Communicates to participants the benefits of complete clinical documentation.
Trains new employees on the Client revenue cycle team on coding and documentation guidelines
Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
Performs coding procedures as needed and warranted
Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
All other duties as assigned within the scope and range of job responsibilities
Requirements:
Education: Associate Degree Related field
Credential: Certified Professional Coder
Experience: Five (5) years in Inpatient /Outpatient coding and auditing experience
Education Bachelor Degree Related field
Credential: Certified Professional Coder
Experience: Coding in multi-specialty group practice setting
Why Should You Apply?
Health Benefits
Referral Program
Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.