Coding Auditor

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Conduct coding and auditing for inpatient and outpatient services across various specialties.

• Execute coding and compliance audits for both physicians and mid-level providers.

• Generate audit reports and present findings to both internal and external stakeholders as required.

• Implement coding and documentation standards, including E&M, surgical documentation, CCI, CPT/HCPCS, and guidance from specialty associations.

• Educate physicians based on audit results and trends related to edits or denials.

• Complete coding audits for the coding work queue of co-partners.

• Collaborate with offsite auditors.

• Assess and report on the quality of physician documentation that supports selected codes and medical necessity.

• Comply with local and national coverage determinations, CCI, and payer-specific editing regulations.

• Ensure correct documentation and coding for split/shared services, teaching physician protocols, and client-specific quality assessment initiatives.

• Collect, analyze, and report on findings that fall short of applicable guidelines.

• Safeguard and disclose patient PHI in alignment with HIPAA regulations.

• Adhere to Information Security and HIPAA policies and procedures.

• Limit access to PHI to the minimum necessary for completing assigned responsibilities.

• Undertake additional duties as assigned by the management team.

⛳️ Requirements

• High School diploma or equivalent is necessary.

• CPC or CCS coding certification from AHIMA or AAPC is required.

• A minimum of 5 years of coding experience is essential.

• At least 2 years of auditing experience in a multi-specialty environment is required.

• Proficiency in using job-related software is a must.

• Must be a self-starter with the ability to work independently.

• Proficient in the Microsoft Office Suite.

• Strong interpersonal skills with the ability to effectively communicate at all levels within the organization.

• Excellent problem-solving and creative skills, along with the capacity to make sound judgments and decisions based on accurate and timely analyses.

• High integrity and dependability, with a strong sense of urgency and results orientation.

• Exceptional written and verbal communication skills are required.

• Must have a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

• Ability to follow instructions, collaborate with others, and manage stress effectively.

🏝️ Benefits

• Option for remote work.

• Access to job-related software and the Microsoft Office Suite.

• Multifactor authentication and security support for smartphones or electronic devices.