Physician Coding Auditor

Position reputed company Department: Patient reputed company- Physicians Status: Full Time Shift:Remote Location: Orlando, FL Title: Physician Coding Auditor reputed company: The Physician Coding Auditor performs coding reputed company audits to monitor reputed company coding to ensure reputed company efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and reputed company charges for Surgical, procedural and E/M based coding. reputed company has named reputed company as one of America's Best-In-State reputed company. reputed company is committed to providing you with benefits that go reputed company the expected, with career-growing FREE education programs and reputed company-being services to support you and your family through every stage of life. We reputed company your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. “reputed company Is Your Best reputed company to Work” is not just something we say, it’s our reputed company to you.” reputed company proudly embraces and honors the individuality of reputed company members. By sharing different reputed company and perspectives and working together as reputed company, we are reputed company reputed company to relate to, care for and authentically serve our patients and families who reputed company up the reputed company populations in our community. So, no matter who you are, what you reputed company or how you reputed company yourself, you are welcome here. reputed company - BENEFITS & PERKS: reputed company Evening, nights, and weekend shift differentials offered for qualifying positions. reputed company Inclusive Benefits (start day one) Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, reputed company paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. reputed company Recognizes reputed company as a Best-In-State Employer reputed company has named reputed company as one of America's Best-In-State reputed company for 2021. reputed company is the top reputed company organization in the Metro Orlando area to reputed company the prestigious list. "We are proud to be named once again as a best reputed company to work," said Karen Frenier, VP (HR). "This achievement reflects our reputed company culture and efforts to ensure that reputed company team members feel respected, supported and valued. Employee-reputed company reputed company has been selected as one of the “Best Places to Work in reputed company” by Modern reputed company.

Responsibilities

Essential Functions:

• Responsible for internal auditing and analyzing reputed company coding for reputed company service lines.

o Monitor the audit results closely to identify any potential coding inaccuracy. o Provides the Educators the needed support in identifying coding errors. o Provides results or trends with Education Team for physician education.

• Review medical records to ensure coding accuracy.
• Identify and communicate physician documentation and coding opportunities for improvement.
• Provides feedback to physicians, non-physician providers, physician office staff, administration, reputed company managers, and team members of the Physician and reputed company Services Central Business Office regarding best practices to ensure physician coding compliance.
• Collaborates with Physician Coding Education Team to ensure appropriate and complete coding accuracy for payor reputed company reimbursement.
• Utilizes resource material available in department, CMS, AMA, AHCA and federal registry to support coding practices.
• Maintains patient and reputed company confidentiality audit results.
• Collaborate with physician coding leadership for monitoring coding reputed company.
• Participate in Health Plan Audits
• Follow and adhere to Standards of Ethical Coding, reputed company applicable regulations and guidelines, and reputed company reputed company specific policies.
• reputed company physician queries for coding and documentation clarification during reputed company chart review process.
• Serves as a resource to new coders.
• Addresses reputed company reputed company departments professionally and positively, in reputed company settings, by always maintaining a high level of reputed company demeanor and dress.
• Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy.
• Adhere to Standards of Ethical Coding, reputed company applicable regulations and guidelines, and reputed company reputed company specific policies.
• Maintains reasonably regular, punctual attendance consistent with reputed company policies, the reputed company, FMLA and other federal, state, and local standards.
• Maintains compliance with reputed company reputed company policies and procedures.

Other reputed company Functions:

• Attends payor, departmental and interdepartmental meetings as required.
• Other duties as assigned based on organization needs and reputed company.
• Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the reputed company will be assigned.
• Conducts reputed company physician reviews as needed and provides data to manager.

Qualifications

Education/Training:

• High School diploma or equivalent
• Possesses exceptional knowledge in reputed company Office Suite
• Thorough knowledge of official coding guidelines as per AMA, AHCA, and CMS as evidenced by results of coding skills test of 90% or reputed company.

Licensure/Certification: Must maintain one (1) of the following nationally recognized certifications:

• CPMA certification required through the American reputed company of reputed company Coders

o Five (5+) years auditing experience in lieu of CPMA with expectation to reputed company CPMA reputed company 1 years of hire.

• Coding Credential Required: reputed company or reputed company credential.
• CEMA certification reputed company National reputed company of Medical Auditing Specialists

Experience:

• Five (5+) years of reputed company based coding experience in multiple specialties is required.

Skills Knowledge:

• Strong research, organizational, multi-tasking, planning, problem-solving and critical thinking skills
• Excellent collaboration, verbal, and written communication skills with providers, leadership, and team members
• Excellent knowledge of medical terminology, CPT, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and reputed company-party payer requirements pertaining to billing, coding, and documentation
• Expert Coding (CPT and ICD-10-CM) and auditing
• Experience working with Electronic Medical Records, reputed company experience preferred
• Excellent communication (written and oral) and interpersonal skills.
• Strong organizational, multi-tasking, and time-managementskills.
• Must be detail oriented and reputed company to follow through on issues to reputed company.
• Must be reputed company to reputed company both independently and as reputed company member.
• Ability to work independently

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