What are the responsibilities and job description for the Medical Record Audit / Coding Auditor position at CRD?
About the job Medical Record Audit / Coding Auditor
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 :
