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Title
Text copied to clipboard!Coding Auditor
Description
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We are looking for a meticulous and experienced Coding Auditor to join our team. The ideal candidate will have a strong background in medical coding and billing, with a keen eye for detail and a commitment to accuracy. As a Coding Auditor, you will be responsible for reviewing and analyzing medical records to ensure that coding is accurate, complete, and compliant with all relevant regulations and guidelines. You will work closely with healthcare providers, billing departments, and compliance teams to identify and correct coding errors, provide education and training, and support continuous improvement in coding practices. Your role will be critical in ensuring that our organization maximizes revenue while minimizing compliance risks. You will need to stay current with changes in coding standards, payer requirements, and healthcare regulations, and apply this knowledge to your auditing activities. The successful candidate will have excellent analytical skills, strong communication abilities, and a thorough understanding of medical terminology, anatomy, and physiology. If you are passionate about improving healthcare quality and efficiency through accurate coding, we encourage you to apply.
Responsibilities
Text copied to clipboard!- Review and analyze medical records for accurate coding.
- Ensure compliance with coding standards and regulations.
- Identify and correct coding errors.
- Provide education and training to healthcare providers and billing staff.
- Support continuous improvement in coding practices.
- Collaborate with compliance teams to minimize risks.
- Stay current with changes in coding standards and regulations.
- Prepare detailed audit reports.
- Assist in the development of coding policies and procedures.
- Conduct regular coding audits.
- Communicate findings and recommendations to relevant stakeholders.
- Participate in coding-related projects and initiatives.
- Maintain confidentiality of patient information.
- Utilize coding software and tools effectively.
- Monitor and report on coding performance metrics.
- Assist in resolving coding-related billing issues.
- Provide feedback to improve documentation practices.
- Support the implementation of new coding systems and processes.
- Ensure accurate and timely submission of claims.
- Participate in professional development and continuing education.
Requirements
Text copied to clipboard!- Certified Professional Coder (CPC) or equivalent certification.
- Minimum of 3 years of experience in medical coding and auditing.
- Thorough understanding of ICD-10, CPT, and HCPCS coding systems.
- Strong knowledge of medical terminology, anatomy, and physiology.
- Excellent analytical and problem-solving skills.
- Attention to detail and accuracy.
- Strong communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Proficiency in coding software and tools.
- Knowledge of healthcare regulations and payer requirements.
- Experience with electronic health records (EHR) systems.
- Ability to handle confidential information with discretion.
- Strong organizational and time management skills.
- Commitment to continuous learning and professional development.
- Ability to provide training and education on coding practices.
- Experience in a healthcare setting preferred.
- Ability to prepare detailed audit reports.
- Strong critical thinking abilities.
- Ability to adapt to changes in coding standards and regulations.
- Proficiency in Microsoft Office Suite.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical coding and auditing?
- What certifications do you hold in medical coding?
- How do you stay current with changes in coding standards and regulations?
- Can you provide an example of a coding error you identified and corrected?
- How do you approach providing education and training on coding practices?
- What tools and software do you use for coding and auditing?
- How do you handle confidential patient information?
- Can you describe a time when you had to collaborate with a compliance team?
- What strategies do you use to ensure accuracy in your coding audits?
- How do you manage your time and prioritize tasks in a busy work environment?
- Can you describe your experience with electronic health records (EHR) systems?
- How do you handle disagreements or conflicts regarding coding decisions?
- What steps do you take to prepare detailed audit reports?
- How do you support continuous improvement in coding practices?
- Can you describe a challenging coding-related billing issue you resolved?
- What professional development activities do you participate in?
- How do you ensure compliance with payer requirements?
- Can you provide an example of how you improved documentation practices?
- What experience do you have in a healthcare setting?
- How do you adapt to changes in coding systems and processes?