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Frederick Health · 4 months ago

Coding HCC Auditor

Frederick, MD

Full-time

Onsite

Senior Level

$28/hr - $41/hr

5+ years exp

Frederick Health is dedicated to providing quality healthcare services, and they are seeking a Coding/HCC Auditor to ensure accurate medical coding practices. The role involves reviewing medical records, providing education to coding staff, and ensuring compliance with healthcare regulations.

Clinical TrialsHealth CareHospitalWellness

Responsibilities

Examining medical charts and documentation to verify the accuracy of CPT, ICD-10, HCC, HCPCS codes, and modifiers assigned to surgical procedures and related professional services

Verifying adherence to healthcare regulations, payer-specific guidelines, and industry standards, including and regulations

Detecting discrepancies, coding errors, and documentation deficiencies, and collaborating with coding staff to implement corrections and improvements

Delivering training to coding staff on best practices, coding updates, and compliance requirements, often through workshops, seminars, and individual feedback

Preparing detailed audit reports, analyzing trends, and presenting findings to management and relevant stakeholders

Assisting in the development and maintenance of coding policies, procedures, and guidelines

Working closely with various departments, including billing, compliance, and clinical teams, to ensure seamless coding and billing processes

Qualification

ICD-10 codingHCC codingCPT codingHCPCS codingCertified Professional CoderCertified Professional Medical AuditorRegulatory knowledgeAnalytical skillsAttention to detailCommunication skillsInterpersonal skillsProblem-solving skills

Required

5 to 10 years of experience in medical practice, hospital, or clinic setting

Certified Professional Coder (CPC) required

Certified Professional Medical Auditor (CPMA) required

Experience in Medical Coding Audit and Physician Education, preferably in Surgery Coding

Current certification with valid proof of certifications

Good knowledge of medical and billing systems, regulatory requirements, auditing concepts, and principles

Deep understanding of ICD-10-CM, HCC, CPT, and HCPCS coding systems, including modifiers and coding guidelines

Ability to interpret medical records and understand clinical documentation requirements

Familiarity with healthcare regulations, including HIPAA, CMS, and payer-specific requirements

Ability to identify patterns, analyze data, and develop solutions to coding-related issues

Effective communication skills to provide feedback, deliver training, and collaborate with various stakeholders

Meticulous attention to detail to ensure accuracy in coding and documentation review

Preferred

CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus

Benefits

Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and offer multiple plans to best meet you and your family needs.

Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees.

Frederick Health offers a robust Paid Time Off program for eligible employees.

Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees.

All employees have access to free financial planning sessions.

We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.