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Title

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Coding Auditor

Description

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We are looking for a detail-oriented and experienced Coding Auditor to join our team. The successful candidate will be responsible for reviewing and auditing medical coding and billing data, ensuring accuracy, and compliance with federal regulations and insurance guidelines. The Coding Auditor will also be responsible for identifying and correcting coding errors, providing coding education to staff, and working with the billing department to ensure accurate reimbursement. This role requires a strong understanding of medical terminology, coding guidelines, and healthcare compliance regulations. The ideal candidate will have excellent analytical skills, attention to detail, and the ability to work independently.

Responsibilities

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  • Review and audit medical coding and billing data
  • Ensure accuracy and compliance with federal regulations and insurance guidelines
  • Identify and correct coding errors
  • Provide coding education to staff
  • Work with the billing department to ensure accurate reimbursement
  • Maintain up-to-date knowledge of coding guidelines and compliance regulations
  • Prepare and present audit reports
  • Assist in the development of coding policies and procedures
  • Conduct regular coding training sessions for staff
  • Collaborate with other departments to ensure coding accuracy and compliance

Requirements

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  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification
  • Minimum of 3 years of medical coding experience
  • Strong understanding of medical terminology and coding guidelines
  • Knowledge of healthcare compliance regulations
  • Excellent analytical and problem-solving skills
  • Attention to detail and accuracy
  • Ability to work independently
  • Strong communication and presentation skills
  • Experience with electronic health records (EHR) and coding software
  • Ability to maintain confidentiality

Potential interview questions

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  • Can you describe your experience with medical coding?
  • How do you ensure accuracy in your coding?
  • Can you describe a time when you identified and corrected a coding error?
  • How do you stay up-to-date with coding guidelines and compliance regulations?
  • Can you describe your experience with electronic health records (EHR) and coding software?