Coding & Compliance Auditor

Position Summary

Responsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested.

Key Performance Areas

• Provide coding support for physicians.
• Provide coding support for Claims Resolution Specialists.
• Meet with Manager to discuss coding trends and report any coding issues.
• Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer.
• Maintain and ensure the confidentiality of all patient and employee information at all times.
• Aid in training new employees to related job duties.
• Will be expected to work overtime when given sufficient notice of required overtime.
• Comply with all Federal and State laws and regulations pertaining to patient care, patients’ rights, safety, billing, and collections.
• Adhere to all Company and departmental policies and procedures, including IT policies and procedures and Disaster Recovery Plan.
• Maintain all company equipment in safe and working order.
• Complete E/M audits accurately in a timely manner as assigned to the Auditor Queue.
• Audit Request (Compliance and other departments)
• Contribute to the review and completion of tickets, emails and/or lists as assigned in a timely and accurate manner.
• Contribute to the updating of Training Manuals, PowerPoints and SOP’s as well as work with peers while they are learning all the required duties of Coding Audits.
• Provide Physician and extender training as needed.
• Proficient in the use of the required programs to accomplish assigned work task and follow up as needed. This includes but not limited to Excel, word, Outlook, and SharePoint.
• Contribute to Government Audit Request as needed.
• Performs other duties and projects as assigned.

Required Qualifications

• 2 + years coding experience with E/M experience in a medical office preferred
• CPC and/or CCS (Other AHIMA and/or AAPC certifications could be considered)