Inpatient Medical Coding Auditor | up to 90k SOB

Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations and Quality.

Essential Functions:

1. Audits medical records that are coded to identify possible undercoded and/or upcoded services.
2. Prepares reports of the findings and meets with the respective coder to communicate clearly the errors and provide education in line with appropriate coding practices and compliance issues.

• Inpatient Specialty: principal diagnosis, secondary diagnosis, procedures (ICD 10 PCS), Diagnosis-Related Group (DRGs), Present On Admission (POA) findings, discharge disposition.

1. Stays current with Official Coding and reporting Guideline, CMS directives for ICD 10 coding and conducts intensive research for acceptable source of references in coding updates, disease process, procedure details etc., to provide accurate audit and feedback to coding staff.
2. Keeping updated to facility specific guidelines and compliance to ensure accuracy in auditing.
3. Attends necessary coding education sessions to receive updated coding information and changes in coding and/or regulations.
4. Able to think independently and impartial judgment.
5. Able to adapt on technologies use in coding and auditing.
6. Maintains confidentiality of information.
7. Adheres to all HIPAA privacy and security policies and practices. Reports violations and incidents they observe and cooperates in investigations as requested by management.
8. Capable of doing coding to its minimum as needed in the production.
9. Perform as a team player
10. Attendance in accordance with company HR and department policies
11. Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business.

Education/ Experience:

1. Bachelor’s Degree in Medical Records or any Allied Medical Field.
2. Preferably possess a current CCS/CPC/CCS-P/CIC/COC/CCA (or equivalent) medical coder certification.
3. Must have at least two (2) years coding experience within the organization and excellent annual evaluation rating