Experience in coding within a Medical Practice - Ortho Preferred
Audit experience in Coding - Preferred
Strong Microsoft Office skills
Audit certification preferred - CPMA -Certified Professional Medical Auditor.
ESSENTIAL FUNCTIONS
Conducts internal audits for coding accuracy.
Evaluation and Management (E / M)
HCPC
ICD-10
Identify training needs and provide the necessary training.
Assists in the development, completion, and maintenance of a comprehensive, clinical coding audit program.
Conducts regular complex audits of clinically coded data to critically examine clinical information and prepare reports on findings for management.
Effectively communicates with clinicians, managers, and administration to facilitate cooperation in reaching the required standards.
Report inaccurate or incomplete data to appropriate parties for correction or amendment.
Assists in the review and updating of policies and procedures related to coding and documentation guidelines.
Identifies and makes recommendations for participation in external programs.
Performs other duties as assigned.
Maintain strict confidentiality.
The Quality Coding Auditor is responsible for maximizing coding efficiency and quality of care by improving clinical documentation through medical record audits and other duties as assigned.
Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks.
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