Coder, Auditing

Duties and Responsibilities

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews.
• Create and review provider queries to resolve documentation discrepancies.
• Support manager with providing education regarding appropriate documentation and code applications.
• Perform quality assessment of records, including verification of medical record documentation.
• Review appropriate charges and make changes or recommendations based on the documentation.
• Research errors or missing documentation from medical records to provide accurate coding processes.
• Assist with organizing and maintaining auditing logs for multiple clients and people.
• Create executive summaries based on findings, including recommendations for next steps.

Knowledge, Skills, and Abilities

• Must have facility, professional, and critical access auditing experience and ideally be exposed to observation hours, injections, and infusion code assignment.
• Must be able to assist in educating coders, providers, and clinical staff.
• Must be comfortable working with AR teams to resolve issues.
• Must be able to pass a coding assessment.
• Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
• Must be able to multi-task and have excellent communication skills.
• Must meet and maintain a 95% quality accuracy rate and productivity standards.
• Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
• Must have experience working in a remote environment.

Working Conditions and Physical Requirements

• A reliable high-speed internet connection is required for all remote/hybrid positions.
• Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities.
• A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations.