Medical Coding Auditor

This is a fully remote position, open to applicants in United States.

📋 Description

• The Auditor is responsible for performing clinical coding audits as outlined by client contracts for audit services and internal quality assessment in accordance with operational guidelines.

• The Audit team will also participate in the ongoing enhancement and development of proprietary audit tools.

• The Auditor will act as the primary mentor and trainer for internal coders as needed per contract deliverables, providing educational feedback and instruction on coding guidelines as part of the internal quality review process.

• Client-Related Duties – Manage and supervise the coder onboarding process for designated clients.

• Oversee the quality performance of all assigned clients.

• Monitor and uphold compliance and quality programs.

• Ensure compliance with State and National Practice Standards for coding.

• Serve as an official resource for coding-related inquiries from the coding staff.

• Provide project status updates to operational leadership upon request.

• Auditing Team Duties – Track employee coding accuracy rates on a weekly basis.

• Collaborate closely with the coding management team to meet the educational needs of coders.

• Offer coaching as needed.

• Ensure that internal coding audits are conducted accurately and in a timely manner.

• Conduct coding audits in accordance with nationally accepted coding guidelines and standards.

• Audit a diverse range of cases.

• Provide insights and recommendations regarding educational topics based on audit trends.

• Represent the company through attendance and communication at professional meetings.

• Engage with audit colleagues, managers, coding staff, and the operations team.

• Adhere to the Standards of Ethical Coding established by AHIMA.

• Maintain appropriate QA/QI and/or productivity logs or record entries.

• Perform additional duties as assigned.

• Stay updated on coding knowledge and act as a coding expert by attending internal and external meetings as necessary to provide insights and serve as a coding information resource.

⛳️ Requirements

• A minimum of 3 years of experience in coding Profee/PB and outpatient charts.

• Proficiency in using Athena, Cerner, Epic, 3M, with TruCode being preferred.

• AHIMA or AAPC Coding credential is mandatory: CPC, CPMA, RHIT, or RHIA.

• Extensive audit experience in professional fee coding.

• Experience collaborating with global or offshore coders.

• Strong interpersonal communication skills, both spoken and written, are required.

• A high level of coding accuracy and meticulous attention to detail is essential.

• Familiarity with multiple encoders and systems is necessary.

• Excellent oral and written communication abilities – must be precise and articulate.

• Strong knowledge of Google Suite applications – Gmail, Google Docs, Google Sheets is required.

🏝️ Benefits

• Healthcare

• 401k

• Paid time off