Pop-Up Talent is Hiring a Coding Auditor Near Los Altos, CA
Outpatient Physician Coding Auditor and Educator100% Remote Position Overview
The Outpatient Physician Coding Auditor and Educator specializes in the auditing and educational enhancement of medical record documentation and coding for outpatient services. This role ensures compliance with coding standards by reviewing and analyzing medical records associated with procedures, surgeries, and treatments that do not require an overnight hospital stay. The professional will implement the elements of the Coding Education Program, including conducting focused coding audits, monitoring coder accuracy, and providing targeted coding education to groups, providers, and coders
Key Responsibilities
Implement and manage the Coding Education Program by conducting focused audits, monitoring coder accuracy, and carrying out educational initiatives
Develop and deliver coding education for assigned groups, resolving questions related to coding and documentation requirements
Generate and implement educational opportunities to support coding and documentation compliance, aimed at improving the integrity and quality of patient data
Serve as a coding resource for department managers, physicians, and administration, providing guidance on ethical coding standards and regulatory requirements
Develop and disseminate training materials and aids, deliver coding and documentation training consistent with industry standards
Supervise and ensure coding quality for assigned foundations, developing strategies to address non-compliant or high-risk coding practices
Partner with management to implement corrective action plans and educational programs that reduce edits and denials
Requirements
Must have experience in CPT and E&M Auditing
AHIMA or AAPC coding certification (CCS-P, CPC, COC, CPC-P) required
Proficiency in Epic Resolute and Ambulatory, PowerPoint, Excel, including pivot tables and charts
Knowledge of ICD-10, CPT, HCPCS coding, and associated billing edits such as NCCI
Experience with coding auditing tools such as MD Audit and encoding software tools like Health Care Company Encoder Pro, 3M
Ability to review, analyze, and interpret billing guidelines and state and federal regulations
Ability to travel to locations to provide education
Education:
High School Diploma or equivalent education/experience
Experience:
Minimum of 4 years of relevant experience
Certification & Licensure:
CCS (Certified Coding Specialist) preferred
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.req2541776