Open-Compliance Auditor/Medical Coder- Dallas, TX

Job Title

Dallas, TX 8hr shift M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification.

Responsibilities:

• Assign, sequence, validate, and edit codes for multi-specialty professional outpatient/inpatient encounters for both adults and pediatrics
• Assign appropriate E/M, ICD-10-CM and/or CPT codes based on documentation and/or payer requirements
• HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and cervical cancer
• Review NCCI and nosology edits for accurate code capture
• Review LCD's and/or payor policies to appropriately resolve coding edits
• Evaluate medical record for provider signature and validate provider facility credentials
• Resolve and/or clarify clinical data as necessary
• Review and run data reports to monitor individual productivity
• Utilize Current Coding guidelines, Coding Clinic, CPT Assist for coding accuracy guidance