Coding Auditor and Education Specialist

1 week ago


Toledo, Ohio, United States ProMedica Full time

Job Summary

We are seeking a skilled Coding Auditor and Education Specialist to join our team at ProMedica. As a key member of our healthcare team, you will be responsible for providing training, audit, and billing education services to our providers.

Key Responsibilities

1. Develop and coordinate educational plans that ensure accurate documentation, coding, and billing procedures based on specialty.

2. Conduct regular audits of provider documentation and coding accuracy, summarizing information and making suggestions for improvement.

3. Recognize and address inaccurate dictation and documentation trends and issues among physicians and clinical staff.

4. Provide scheduled educational seminars on coding and billing updates and changes.

5. Work one-on-one with providers to facilitate accurate documentation and coding.

6. Provide coding education to billing staff as needed.

7. Collaborate with the billing manager to coordinate appeals for additional reimbursement.

8. Maintain effective interpersonal relationships with billing manager, operations director, physicians, and staff.

Requirements

Education: Associate degree in a related field.

Skills: Strong commitment to customer service, effective interpersonal skills, and ability to work independently. Extensive experience with ICD-10 and CPT coding.

Years of Experience: Minimum of 3 years coding experience with physicians, including performing physician coding audits.

Certification: CPC, RHIT, RHIA, CPMA, CEMC, or CCC.



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