ICONMA · 17 hours ago
Coding and Billing Auditor
Dover, DE
Full-time
Onsite
Senior Level
$53K/yr - $81K/yr
5+ years expICONMA is a healthcare company seeking a Coding and Billing Auditor for their Dover, DE location. The role involves performing data quality reviews, auditing medical records for coding accuracy, and providing education on coding guidelines and documentation requirements.
Staffing & Recruiting
Responsibilities
Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to Client coding and billing staff
Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits
Audits all establish provider medical records on by annual basis:
Audits medical records for accurate CPT coding assignment
Maintains audit lodge for Client
Compiles reports with an analysis of findings from the medical record audits
Ensures the selected CPT code supports the clinical documentation contained in patient record
Consistently meets established productivity targets for record audits
Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation
Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers
Communicates to participants the benefits of complete clinical documentation
Trains new employees on the Client revenue cycle team on coding and documentation guidelines
Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
Performs coding procedures as needed and warranted
Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers
All other duties as assigned within the scope and range of job responsibilities
Qualification
Required
Education: Associate Degree Related field
Credential: Certified Professional Coder
Experience: Five (5) years in Inpatient /Outpatient coding and auditing experience
Minimum Years of Experience: 5
Professional Physician coding experience is a must
Preferred
Education: Bachelor Degree Related field
Experience: Coding in multi-specialty group practice setting
Auditing experience is preferred
Experience with coding different specialties is preferred
Benefits
Health Benefits
Referral Program
Excellent growth and advancement opportunities
Company
ICONMA
ICONMA: Your Partner in Global Staffing Solutions and Digital Transformation ICONMA is a globally recognized, Woman-Owned staff augmentation and technology consulting firm.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Claudine George
Founder and CEO of ICONMA, LLC
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