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Medical Record Audit / Coding Auditor
Medical Record Audit / Coding AuditorCRD • Miami, FL, United States
Medical Record Audit / Coding Auditor

Medical Record Audit / Coding Auditor

CRD • Miami, FL, United States
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About the job Medical Record Audit / Coding Auditor

OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida

IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity.

  • To develop and Implement policies to support the clinical coding audit function
  • Receive, review and communicate findings on patient billing coding related complaints.
  • Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified
  • Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding / billing and medical record documentation performed by clinical service providers
  • Prepare reports as required relative to these monitoring and review activities.
  • Work with coding / billing associates to assure compliance on coding, billing, monitoring and review activities.
  • Monitor, communicate and conduct educational sessions regarding additions and / or revisions to coding and documentation rules and regulations.

TO SUCCEED IN THIS ROLE, YOU HAVE :

  • High School diploma required, Associate Degree preferred;
  • Must be a certified professional coder ;
  • Minimum five years hands-on experience in physician coding
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