What are the responsibilities and job description for the Medical Coding Auditor position at Patient Financial Concepts?
Job Type
Full-time, Part-time
Description
Location : Remote, Hybrid
Job Summary :
The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. Occasional travel may be required for audits or meetings.
Key Responsibilities :
- Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance.
- Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines.
- Identify and address coding discrepancies and recommend corrective actions.
- Prepare detailed audit reports with findings and provide feedback on documentation and coding practices.
- Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations.
- Stay current with changes in coding guidelines, healthcare regulations, and payer policies.
- Assist in developing and refining audit tools, policies, and procedures to support continuous improvement.
- Monitor and track corrective actions post-audit and ensure follow-up to resolve identified issues.
- Ensure abstracted data impacting reimbursement is accurate : discharge disposition, admission source, POA (present on admission) indicators, procedure dates of service, etc.
- Adhere to facility's coding guidelines and coding policy and procedures, as needed.
Requirements
Education :
Certification :
Experience :
Skills :
Working Conditions :
