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Medical Coding and Billing Auditor - Days - 280563

Lighthouse
Dover, DE Full Time
POSTED ON 4/10/2025 CLOSED ON 4/15/2025

What are the responsibilities and job description for the Medical Coding and Billing Auditor - Days - 280563 position at Lighthouse?

Medical Coding and Billing Auditor - Days - 280563

Job is Fully Onsite

$53,000.00 to $81,000.00/year

  • Permanent, Full Time, Days
  • Dover, DE
  • Start Date ASAP
  • Required: Certified Professional Coder, Experience in Multi-specialty group practice setting
  • 5 years in Inpatient/Outpatient coding and auditing experience

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

Job Type: Full-time

Pay: $53,000.00 - $81,000.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Relocation assistance
  • Retirement plan
  • Vision insurance

Schedule:

  • Day shift

Work Location: In person

Salary : $53,000 - $81,000

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