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Nurse Practitioner Coding Auditor
1 month ago
The CommuniCare Family of Companies is seeking a skilled Nurse Practitioner Coding Auditor to join our team. As a key member of our coding team, you will be responsible for reviewing and assessing the accuracy, completeness, and specificity of diagnosis codes in medical records. Your expertise in ICD-10-CM coding and HCC methodologies will be essential in ensuring compliance with CMS and coding best practices.
Responsibilities- Review medical records to determine completion and compliance with CMS and coding best practices
- Assess the accuracy, completeness, and specificity of diagnosis codes identified in the medical record
- Communicate effectively with the coding leadership and clinical team regarding issues or corrections with the medical record
- Understand the relationship between ICD-10-CM coding and HCC coding
- Identify, correct, and report coding problems
- Maintain adequate knowledge of coding, compliance, and reimbursement procedures related to Medicare risk adjustment
- Make recommendations for coding policy/changes
- Follow all legal and policy requirements for HIPAA protected data
- Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate
- National certification of AANP or ANCC
- Active, unrestricted state license/s
- Ability to obtain licensure in additional states in service area as requested
- Active DEA license
- US work authorization
- 3+ years clinical experience as a Nurse or Nurse Practitioner in geriatric, adult, or family practice setting