Medical Record Auditor

1 week ago


Fort Worth, Texas, United States JPS Health Network Full time
Job Title: Medical Record & Coding Auditor

At JPS Health Network, we are seeking a highly skilled Medical Record & Coding Auditor to join our team. As a key member of our Acclaim Multispecialty Group, you will be responsible for ensuring the accuracy and quality of medical records and coding practices across our network.

Job Summary:

The Medical Record & Coding Auditor will perform annual, periodic, or focused medical record audits to oversee the quality and accuracy of multi-specialty provider group, inpatient, and outpatient coding and documentation. This role requires effective communication with stakeholders and excellent organizational skills to ensure timely and accurate responses to requests, as well as continual program development through training, education, and process improvement for providers.

Key Responsibilities:
  • Perform medical record audits with a primary focus on coding and medical documentation regulatory compliance.
  • Coordinate with outside audit vendors regarding accurate and timely coding and compliance audits of provider documentation.
  • Review audit results with providers, department chairs, service line administrators, and/or coding staff.
  • Assist with the development of training materials for compliance education and training.
  • Provide education and training to providers (new and established) and others as indicated regarding documentation, coding, and data interpretation.
  • Serve as a resource person to obtain information on accurate and ethical coding documentation standards, guidelines, and regulatory requirements.
  • Communicate coding updates published in third-party payer newsletters, bulletins, and provider manuals.
  • Maintain knowledge of new trends and documentation guidelines by attending seminars and webinars as applicable.
Requirements:
  • Bachelor's Degree in Healthcare Administration, Business Administration, or a related field of study from an accredited college or university.
  • Licensed in a clinical discipline or Certified Auditing Professional.
  • 3+ years of experience with ICD-10-CM, HCPCS, CPT-4, and E&M codes.
  • 2+ years of experience with healthcare auditing.
Location:

Acclaim Magnolia, Fort Worth, Texas, 76104


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