Coding Auditor

3 days ago


Providence, Rhode Island, United States Lifespan Full time
Coding Auditor Job Description

We are seeking a skilled Coding Auditor to join our team at Lifespan. As a Coding Auditor, you will be responsible for performing audits of ICD-10 codes, CPT codes, HCPCS codes, and HCC*s to ensure accuracy and compliance.

Key Responsibilities:
  • Audit professional ambulatory medical records to ensure billed codes are accurately supported by documentation.
  • Review diagnoses, procedures, and modifiers assigned by coders and record outcomes.
  • Share completed audit results with leadership and provide feedback to individual coders as needed.
  • Stay abreast of industry and payer changes pertaining to coding and documentation guidelines.
  • Identify coding/documentation trends that may pose a risk to Lifespan and report such trends to management.
Requirements:
  • Associate degree and/or successful completion of coding certification program.
  • Understanding of medical terminology, medical science, anatomy, and physiology.
  • Ability to recognize and understand clinical documentation pertinent for coding.
  • Excellent written and oral communication skills.
  • Proficient in Microsoft Word, Excel, and other computer applications.
Preferred Qualifications:
  • Five years coding experience in a large academic practice/facility.
  • Past auditing experience or strong background in coding.
Working Conditions:

Normal office environment.

Supervisory Responsibility:

None.


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