Documentation and Coding Auditor
14 hours ago
We are seeking a highly skilled Documentation and Coding Auditor to join our team at Tri-Cities Community Health. As a Documentation and Coding Auditor, you will play a critical role in ensuring the accuracy and compliance of our medical records and coding practices.
Job Summary:The successful candidate will be responsible for reviewing and auditing new and existing medical records to ensure compliance with our clinic's compliance plan. You will also be responsible for training clinical, billing, and administrative staff on provider rules, CPT, and ICD-9/ICD-10 coding, focusing on the accuracy of provider coding and adequacy of documentation.
Key Responsibilities:- Analyze patient medical records and interpret documentation to identify all diagnoses and procedures.
- Assign proper ICD CM and HCPS diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material.
- Conduct audits of all provider records to ensure compliance with coding and documentation guidelines.
- Provide written reports regarding accuracy and improvements needed to providers, supervisor, and Director of HR.
- Assess the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications, and comorbid conditions assigned codes.
- Work as a liaison between billing department, providers, and other medical staff for clarification regarding diagnosis, missing documentation for nursing visits, splitting encounters for L&I, etc.
- High school diploma/GED required. Billing/Coding training desirable.
- Two years' experience in compliance, review, and auditing in a clinic or physician practice setting preferred.
- CPC, CCS-P, or AHIMA certification required. ICD-10 certification preferred.
- Paid Time Off - Sick, Vacation, and Holidays
- Medical, Dental, and Vision
- Flexible Health Spending Account and Dependent Care Spending Account
- CME Reimbursement (if applicable)
- Retirement - 403(b) with matching contributions
- Employee Assistance Programs
- Life Insurance
We are an Equal Opportunity Employer and consider qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor under federal, state, or local law.
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