Coder Auditor-Professional

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Coder Auditor-Professional

Job Description

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Physician coding

Hours: Full-Time; 40 hours required

Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire

Pay: based on experience, starting at $23.87

Responsibilities

• Assists coders with coding questions., Conducts the collection and
• reporting of provider and
• coder audit results and
• education. Works with coders
• and providers to ensure
• appropriate documentation for
• clinic services. Reports results
• to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of
• having 95% of diagnoses and
• procedures appropriately
• and/or correctly coded.
• Ensures data quality and
• optimum reimbursement
• allowable under the federal
• and state payment systems., Refers trend patterns of
• coding and documentation to
• Coding Supervisor –
• Professional., Responsible for coding quality
• audits for E/M Audit Program.
• Analyze and confirm assigned
• encounters for provider’s
• selection of EM code level
• utilizing EM code level
• selection auditing tool are
• accurate. Analyze and
• confirm assigned encounters
• for coder’s selection of
• diagnoses and procedures
• codes are accurate., Reviews record thoroughly to
• ascertain all
• diagnoses/procedures. Codes
• all diagnoses/procedures in
• accordance to ICD-CM and CPT
• coding principles, official
• guidelines and regulations., Trains new coding staff on
• coding systems and processes.

Requirements

High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months of hire) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year of hire) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association

Compensation

Estimated Compensation Range

$23.87 - $37.00 Pay based on experience