What are the responsibilities and job description for the Coding and Billing Auditor | Coding Auditor | Billing Auditor position at LanceSoft, Inc.?
Estimated Length of Assignment: Permanent Full Time
Estimated Start Date of Assignment: 02/03/2025 [The dates provided are only an estimate and not a guarantee]
Shift: Days, Full Time
Est. Pay: $53,000 to $70,000/Year
Work Type: On-Site [Location: 640 South State Street, Dover, DE 19901]
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 the patient record. Consistently meets established productivity targets for record audits.
2. Audits all establish provider medical records on an annual basis:
a. Audits medical records for accurate CPT coding assignment.
b. Maintains audit lodge for BHMG
c. Compiles reports based on findings for medical record audits.
d. Ensures the selected CPT code supports the clinical documentation contained in the patient record.
e. Consistently meets established productivity targets for record audits.
3. Medical Staff Relationship:
a. Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
b. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
c. Communicates to participants the benefits of complete clinical documentation.
4. Train 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. Develop and implement 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 of Inpatient /Outpatient coding and auditing experience
Salary : $53,000 - $70,000
