Demo

Coding and Billing Auditor

Artius Solutions
Dover, DE Full Time
POSTED ON 3/23/2025
AVAILABLE BEFORE 4/18/2025

Job Description

Job Description

Job Title : Coding and Billing Auditor

Location : Dover, DE 19901

Job Type : Permanent, Full-Time

Shift : Days

Job Summary

The role involves conducting data quality reviews on provider records to validate ICD-10 and CPT codes, auditing clinical documentation, and ensuring compliance with reporting and documentation standards. The Auditor will also educate providers, coders, and staff on guidelines, offer coding support, and contribute to the performance evaluation of revenue cycle personnel.

Responsibilities

Audit Medical Records

Perform CPT coding audits, ensuring alignment with clinical documentation.

  • Compile detailed reports of audit findings.
  • Meet established productivity targets for audits.

Provider Medical Record Audits

Conduct biannual audits for accurate CPT coding assignments.

  • Maintain an audit log for BHMG.
  • Prepare reports analyzing findings from audits.
  • Provider Communication and Education

    Communicate with providers to validate observations and suggest enhanced documentation.

  • Design tools supporting physician documentation in collaboration with the Revenue Cycle Manager.
  • Develop and implement formal and informal education plans for providers.
  • Team Training and Support

    Train new BHMG revenue cycle team employees on coding and documentation guidelines.

  • Assist the Revenue Cycle Manager in evaluating coding activities and team performance.
  • Other Duties

    Perform coding procedures as needed.

  • Undertake additional responsibilities within the job's scope as assigned.
  • Required Qualifications

  • Education : Associate Degree in a related field.
  • Certification : Certified Professional Coder (CPC).
  • Experience : Minimum of 5 years in inpatient / outpatient coding and auditing.
  • Preferred Qualifications

  • Education : Bachelor's Degree in a related field.
  • Experience : Coding experience in a multi-specialty group practice setting.
  • Specialty Information

  • Specialty Type : Medical Coding
  • Sub-Specialty : Medical Coding Auditor
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