What are the responsibilities and job description for the Coder/Auditor - Physician's Group position at USA Health?
USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.
USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.
Responsibilities
Performs correct coding (CPT4/ICD10) for provider services; audits services billed without prior coding review to ensure accuracy; provides education, payer coding updates and documentation to leaders and providers to ensure coding is being performed based on current guidelines; performs periodic reviews and ongoing audits of claims to ensure accuracy of coding/billing and sufficiency of supporting documentation; audits specific number of records per provider as defined in the system coding audit plan; prepares audit reports that are issued to key stakeholder, as appropriate; assists in the development of action plans to address opportunities for coding/billing and documentation improvement; identifies trends and educational opportunities; prepares and presents educational programs related to coding; assists in the management of coding/billing auditing and monitoring program to address high risk compliance areas; assists with charge entry as needed; resolves denials based on coding errors; assists with training on items identified by trends; regular and prompt attendance; ability to work schedule as defined and overtime as required; related duties as required.
Qualifications
Associate’s degree in a health information technology program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (AHIME) and current certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA, or Certified Coding Specialist (CCS) with the AHIMA, or Certified Professional Coder (CPC) with the AAPC.
Directly related experience may substitute on a year-for-year basis for the required education.
Equal Employment Opportunity/Affirmative Action Employer
USA Health is an EO/AA employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally-protected basis.
