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Coding Auditor

2 months ago


Los Altos, California, United States IDR Full time
Job Overview

We are seeking a skilled Coding Auditor to join our team at IDR, a leading healthcare solutions provider. As a Coding Auditor, you will play a critical role in ensuring the accuracy and integrity of patient data.

Key Responsibilities
  • Coding Education Program: Develop and implement a comprehensive coding education program to enhance coder accuracy and knowledge.
  • Educational Delivery: Design and deliver coding education sessions to assigned groups, addressing coding and documentation requirements.
  • Compliance Support: Provide expert guidance on ethical coding standards and regulatory requirements to department managers, physicians, and administration.
  • Quality Assurance: Supervise and ensure coding quality for assigned foundations, identify areas for improvement, and develop strategies to address non-compliant or high-risk coding practices.
Requirements
  • Coding Expertise: Proven experience in CPT and E&M Auditing, with proficiency in ICD-10, CPT, HCPCS coding, and associated billing edits such as NCCI.
  • Certifications: AHIMA or AAPC coding certification (CCS-P, CPC, COC, CPC-P) required, with CCS (Certified Coding Specialist) preferred.
  • Technical Proficiency: Proficiency in Epic Resolute and Ambulatory, PowerPoint, Excel (including pivot tables and charts), and experience with coding auditing tools such as MD Audit and encoding software tools like Ingenix Encoder Pro and 3M.
  • Regulatory Knowledge: Ability to review, analyze, and interpret billing guidelines and state and federal regulations.
What We Offer
  • Competitive Compensation: A competitive hourly rate of $40-$44.
  • Benefits: Comprehensive benefits package, including medical, vision, dental, and life insurance.
  • Opportunity for Growth: The chance to work with a leading healthcare solutions provider and develop your skills in a dynamic and supportive environment.