QA Coding Auditor
2 days ago
Responsibilities
• Conduct comprehensive reviews and validation of coding auditor's recommendations, scrutinizing the appropriateness of diagnostic and procedural codes assigned by the medical coders based on the auditors' feedback.
• Perform quality assurance checks on accounts where the coding auditor has made no recommendations, auditing these accounts independently to confirm the original coding accuracy.
• Work closely with project managers, providing feedback on review findings including addressing any discrepancies or errors found during the review process, clarifying coding rules and guidelines along with hospital internal coding policies, and sharing information on how to improve coding accuracy and compliance.
• Stay up-to-date with changes in internal coding policies, coding standards, healthcare regulations, and compliance requirements.
• Ensure that both the coding auditors' recommendations and their decisions to make no recommendations are accurate, contributing to the smooth and efficient operation of the organization's quarterly coding audits process.
• Proficiency in Audit Engagements
• Ability to develop and manage Audit Plans
• Must possess a Coding Certificate
• Expertise in Audit and Information Systems Audit
• Proven ability to Perform Quality Assurance
• Knowledge of QA - Quality Assurance
• Experience in Quality Assurance
• Familiarity with Epic Hospital Billing
• Experience with Epic EMR software
• Proficiency in using MEDITECH
• Understanding of Health policy applicable in a healthcare setting
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