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Title
Text copied to clipboard!Coding Auditor
Description
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We are looking for a detail-oriented Coding Auditor to join our team. As a Coding Auditor, you will be responsible for reviewing and evaluating medical coding to ensure accuracy, compliance with regulations, and adherence to organizational policies. Your primary role will involve auditing medical records, billing data, and coding documentation to identify discrepancies, errors, and potential areas of improvement. You will work closely with coding staff, healthcare providers, and compliance teams to provide feedback, training, and recommendations for process enhancements.
The ideal candidate will have a strong background in medical coding, a deep understanding of healthcare regulations such as ICD-10, CPT, and HCPCS, and experience with electronic health record (EHR) systems. You should possess excellent analytical skills, attention to detail, and the ability to communicate findings clearly and professionally.
Key responsibilities include conducting regular and random audits of coded medical records, preparing detailed audit reports, and assisting in the development of coding policies and procedures. You will also be expected to stay up-to-date with changes in coding standards and healthcare regulations, participate in training sessions, and support the ongoing education of coding staff.
This role requires a high level of integrity, confidentiality, and the ability to work independently as well as part of a team. If you are passionate about ensuring the accuracy and integrity of medical coding and want to contribute to the overall quality and compliance of healthcare services, we encourage you to apply.
Responsibilities
Text copied to clipboard!- Conduct audits of medical coding for accuracy and compliance.
- Review medical records and billing data for discrepancies.
- Prepare detailed audit reports and present findings.
- Collaborate with coding staff and healthcare providers.
- Provide feedback and training to coding personnel.
- Assist in developing and updating coding policies.
- Stay current with coding standards and regulations.
- Support compliance initiatives and risk assessments.
- Participate in ongoing education and training sessions.
- Identify trends and recommend process improvements.
Requirements
Text copied to clipboard!- Certified Professional Coder (CPC) or equivalent certification.
- Minimum of 3 years of medical coding experience.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Experience with electronic health record (EHR) systems.
- Excellent analytical and problem-solving skills.
- Attention to detail and high level of accuracy.
- Strong written and verbal communication skills.
- Ability to work independently and as part of a team.
- Understanding of healthcare compliance and regulations.
- High level of integrity and confidentiality.
Potential interview questions
Text copied to clipboard!- What certifications do you hold related to medical coding?
- Describe your experience with medical coding audits.
- How do you stay updated with changes in coding standards?
- Can you provide an example of a coding discrepancy you identified?
- What EHR systems have you worked with?
- How do you handle disagreements with coding staff?
- Describe your approach to providing feedback and training.
- What steps do you take to ensure compliance in your work?
- How do you prioritize multiple audit tasks?
- Are you comfortable working independently and in a team environment?
