What are the responsibilities and job description for the DE - Coding and Billing Auditor - Dover position at Artius Solutions?
Job Description
Job Description
Job Title :
DE - Coding and Billing Auditor
Location : Hospital
Dover, DE 19901
Job Type : Permanent, Full-Time
Shift Information : Days
Salary Range :Number of Positions :
Job Summary :
The Coding and Billing Auditor is responsible for performing detailed quality reviews of provider records to ensure accurate ICD-10 and CPT code assignment and validate clinical documentation. This role involves auditing records for compliance, educating staff on coding guidelines, and providing coding support to BHMG coding and billing personnel.
This position is fully onsite.
Primary Responsibilities :
Audit Medical Records :
Review and validate accurate CPT code assignments.
- Compile audit reports with detailed findings and analyses.
- Ensure selected CPT codes align with clinical documentation.
- Consistently meet productivity targets for audits.
- Maintain the BHMG audit log and prepare detailed reports.
- Design and implement tools to improve medical record documentation in collaboration with the Revenue Cycle Manager.
- Provide formal and informal training to providers on coding and documentation guidelines.
- Assist the Revenue Cycle Manager in evaluating coding activities and conducting performance reviews as needed.
- Participate in the development and implementation of plans for improved documentation.
- Handle other related tasks within the scope of responsibilities.
- Education : Associate Degree in a related field
- Certification : Certified Professional Coder (CPC)
- Experience : Minimum of 5 years in inpatient / outpatient coding and auditing
- Education : Bachelor's Degree in a related field
- Experience : Coding experience in a multi-specialty group practice setting
- Medical Coding
- Subspecialty : Medical Coding Auditor
Provider Record Audits :
Conduct biannual audits of all established provider records.
Provider Communication & Education :
Collaborate with providers to validate findings and recommend enhanced documentation practices.
Team Training & Support :
Train new revenue cycle team members on coding and documentation standards.
Additional Duties :
Perform coding procedures when required.
Required Qualifications :
Preferred Qualifications :
Specialty Area :
