Medical Record Audit / Coding Auditor

Medical Record Audit / Coding Auditor

Miami, Florida, United States

About the Job

Our client is a contracting and data management services organization dedicated to primary care physicians throughout Florida.

In this role you are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity.

• To develop and implement policies to support the clinical coding audit function
• Receive, review and communicate findings on patient billing coding related complaints.
• Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified
• Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers
• Prepare reports as required relative to these monitoring and review activities.
• Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities.
• Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations.

To succeed in this role, you have:

• High School diploma required, Associate Degree preferred;
• Must be a certified professional coder;
• Minimum five years hands-on experience in physician coding