Text copied to clipboard!
Title
Text copied to clipboard!Coding Auditor
Description
Text copied to clipboard!
We are looking for a detail-oriented and experienced Coding Auditor to join our healthcare compliance team. The Coding Auditor will play a crucial role in ensuring the accuracy, compliance, and efficiency of medical coding practices within our organization. This position requires a deep understanding of medical coding standards, healthcare regulations, and auditing methodologies. The ideal candidate will possess strong analytical skills, excellent attention to detail, and the ability to communicate effectively with medical coders, healthcare providers, and administrative staff.
The Coding Auditor will be responsible for conducting regular audits of medical records and coding practices to ensure compliance with established coding guidelines, regulatory requirements, and internal policies. They will identify coding errors, discrepancies, and areas for improvement, providing detailed feedback and recommendations to coding staff and management. Additionally, the auditor will assist in developing and implementing training programs aimed at improving coding accuracy and compliance across the organization.
This role requires collaboration with various departments, including billing, compliance, medical records, and clinical teams, to ensure consistency and accuracy in coding practices. The Coding Auditor will also stay current with industry changes, coding updates, and regulatory requirements, ensuring that the organization's coding practices remain compliant and up-to-date.
The successful candidate will have a proven track record in medical coding and auditing, with relevant certifications such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA). Strong knowledge of ICD-10, CPT, HCPCS coding systems, and healthcare reimbursement methodologies is essential.
In addition to technical expertise, the Coding Auditor must demonstrate strong organizational skills, the ability to manage multiple tasks simultaneously, and a commitment to maintaining confidentiality and integrity in handling sensitive patient information. Excellent communication skills are required to effectively convey audit findings, provide constructive feedback, and facilitate training sessions.
This position offers an opportunity to contribute significantly to the organization's compliance efforts, improve coding accuracy, and support overall financial health. The Coding Auditor will be instrumental in identifying trends, mitigating risks, and ensuring that the organization adheres to best practices in medical coding and documentation.
We offer a supportive work environment, opportunities for professional growth, and competitive compensation. If you are passionate about healthcare compliance, possess strong auditing skills, and are committed to excellence, we encourage you to apply for this rewarding position.
Responsibilities
Text copied to clipboard!- Conduct regular audits of medical coding to ensure accuracy and compliance.
- Identify coding errors and discrepancies, providing detailed feedback to coding staff.
- Develop and implement training programs to improve coding accuracy.
- Collaborate with billing, compliance, and clinical teams to ensure consistent coding practices.
- Stay current with coding guidelines, regulatory changes, and industry best practices.
- Prepare detailed audit reports and present findings to management.
- Assist in developing policies and procedures related to medical coding compliance.
Requirements
Text copied to clipboard!- Certification as CPC, CCS, or CPMA required.
- Minimum of 3 years of experience in medical coding and auditing.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Excellent analytical and problem-solving skills.
- Ability to communicate effectively with diverse teams.
- Proficiency in healthcare compliance regulations and reimbursement methodologies.
- Strong organizational skills and attention to detail.
Potential interview questions
Text copied to clipboard!- Can you describe your experience conducting medical coding audits?
- How do you stay updated with changes in medical coding guidelines and regulations?
- What steps do you take when you identify significant coding errors during an audit?
- Can you provide an example of a training program you developed to improve coding accuracy?
- How do you handle disagreements with coding staff regarding audit findings?
