Position: Multi-Specialty Coding Auditor (Coding Quality & Performance Analyst)
Openings: 1-2
Duration: 6mo C2H
Location: Remote within APPROVED STATES:
Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming
Hours: 40 hours M-F – flex on start/stop times – First few weeks prefer standard hours
Pay Rate: $30-35/hr
Must-Haves:
- EPIC experience
- CPC or CCS certification
- Must have strong Cardiology coding and/or audit experience
- 3-5 years experience in E/M Coding/Outpatient procedural coding/Physician Coding (CPT, ICD-10, HCPCS)
- Multi-specialty coding experience (CPT codes)
- Preferred specialty areas: Cardiology, Gastroenterology, Surgery, Behavioral Health, Complex surgery experience (head, neck, spine, abdominal)
- Must have CPT and ICD-10 experience
Plusses:
- Coder Audit experience *highly preferred
- Complex surgical/Surgical Invasive coding exp *highly preferred
- MD Audit software *highly preferred
- Nursing background/Clinical cardiology experience
- CPMA or other specialty coding cert
- Bachelor’s degree or higher
Day-to-Day:
- 2 primary focuses: auditing the coders and providing education and training
- Meeting with and auditing the coders – Weekly Audits – Will receive a sample size of 5 claims/coder from group of 9-10 coders (45-50 audits/week)
- Presenting findings to leadership and provide feedback to coders/providers on areas of concern
- Recommend corrective actions to address deficiencies and necessary corrections for maximum reimbursement
- Identify errors in documentation and coordinate training w/ compliance team
- Identify errors in charge router or claim edits and coordinate response
- Serve as coding resource and develops a method of disseminating best practices
- Design and conduct training programs and/or general communication related to coding changes and documentation topics
- Provide support and analysis of any coding trends
- Working with coders on complex cases
- Ad-hoc audit project assignments as potential issues are identified by the coding teams
- Leverage MD Audit to streamline documentation– audits, rebuttals, etc.
- Assist with coding backlog and denials if/when needed
- Supporting multiple specialties but working closely with cardio group (12 coders, 120+ Adults/Peds Providers, 4 specialties: Gen Card, Interventional Card, Electrophysiologists, Intensivists (ICU) )
