Physician Billing Auditor

7 days ago


Houston, Texas, United States The Menninger Clinic Full time
Job Summary

The Physician Billing Auditor will be responsible for performing coding audits of the documentation and billing for professional services. This role requires a strong understanding of ICD-10, CPT, HCPCS, and CMS guidelines. The ideal candidate will have experience in revenue cycle and hospital settings, with knowledge of Microsoft Office, including Word, Excel, and Outlook.

Key Responsibilities

Performs coding audits of the documentation and billing for professional services.
Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation.
Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines and identifies areas of weakness.
Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to professional services.
Develops and coordinates educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third-party audit findings, and annual coding updates.
Follows up with providers as needed until documentation is approved.
Analyzes audit findings and generates reports to management.

Requirements

High school diploma or equivalent.
RHIA, RHIT, CCS, or CPC preferred.
Two years of revenue cycle and hospital experience. Knowledge of Microsoft Office, including Word, Excel, and Outlook.

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