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DE - Coding and Billing Auditor - Dover

Generis Tek Inc
Dover, DE Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 4/28/2025

Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Rajeshree Wankhade at email address Rajeshree.Wankhade@generistek.com can be reached on # 630-576-1906.

We have Permanent role for Coding and Billing Auditor f or our client Lake Dover, DE. Please let me know if you or any of your friends would be interested in this position.

Position Details :

Coding and Billing Auditor- Dover, DE

Location : Dover, DE 19901

Project Duration : Permanent Full Time

Salary : $53,000.00 to $81,000.00

Shifts : : Days, Full Time

Job Description : General Summary :

  • Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and / or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff.

Responsibilities :

1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits.

2. Audits all establish provider medical records on by annual basis :

a. Audits medical records for accurate CPT coding assignment.

b. Maintains audit lodge for BHMG

c. Compiles reports with an analysis of findings from the medical record audits.

d. Ensures the selected CPT code supports the clinical documentation contained in patient record.

e. Consistently meets established productivity targets for record audits.

3. Medical Staff Relationship :

a. Communicates (verbal / written) with providers to validate observations and suggest additional and / or more specific documentation

b. Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.

c. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.

d. Communicates to participants the benefits of complete clinical documentation.

4. Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines

5. Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed

6. Performs coding procedures as needed and warranted

7. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.

8. All other duties as assigned within the scope and range of job responsibilities

Required Education, Credential(s) and Experience :

  • Education : Associate Degree Related field
  • Credential : Certified Professional Coder
  • Experience : Five (5) years in Inpatient / Outpatient coding and auditing experience
  • Preferred Education, Credential(s) and Experience :
  • Education Bachelor Degree Related field
  • Credential : Certified Professional Coder
  • Experience : Coding in multi-specialty group practice setting
  • To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Rajeshree Wankhade at email address Rajeshree.Wankhade@generistek.com can be reached on # 630-576-1906.

    About Generis Tek : generis tek is a boutique it / professional staffing based in Chicagoland. we offer both contingent labor & permanent placement services to several fortune 500 clients nationwide. Our philosophy is based on delivering long-term value and build lasting relationships with our clients, consultants and employees. Our fundamental success lies in understanding our clients' specific needs and working very closely with our consultants to create a right fit for both sides. we aspire to be our client's most trusted business partner.

    Salary : $53,000 - $81,000

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