What are the responsibilities and job description for the Physician Coder/Auditor position at Froedtert South, Inc.?
POSITION PURPOSE
Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions.
MINIMUM EDUCATION REQUIRED
High School or Equivalent (GED)
MINIMUM EXPERIENCE REQUIRED
1-3 years Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P) MINIMUM EXPERIENCE PREFERRED
LICENSES / CERTIFICATIONS REQUIRED
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P).
KNOWLEDGE, SKILLS & ABILITIES REQUIRED
Knowledge of CPT and ICD-10 codes
Ability to accurately audit provider documentation to ensure all CPT codes and ICD-10 codes are accurately assigned
Ability to communicate findings by way of written reports and via verbal communication with provider(s) and management staff
Proficient computer and typing skills and familiarity with Microsoft programs such as Word and Excel
Ability to understand and interpret policies and regulations
Ability to read and interpret clinical documentation
Ability to write, hear, and speak the English language
PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
Responsible for conducting internal monitoring and auditing of provider documentation.
Responsible for communicating audit findings to the provider(s), and/or appropriate management staff by way of written or verbal reports.
Responsible for monitoring provider’s compliance with the auditing program and reporting noncompliance to the appropriate individual.
Responsible for reviewing all insurance guidelines to ensure coding/documentation compliance.
Responsible for acting as a resource for Physicians’ Billing and Clinic staff with issues related to documentation and/or compliance.
Responsible for interacting with physicians to clarify diagnoses or procedures.
Responsible for seeking out resources, including appropriate management staff, for questions or other issues.
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