DE - Coding and Billing Auditor - Dover

Mobile Health Team Inc. a staffing agency has an opening for a permanent fulltime Auditor Coding and Billing position. We are looking for someone with a passion for people.

Location: Dover DE 19901

Start Date: 12/10/2024

Shift: Days Full Time

Salary: $53000.00 to $81000.00

Performs data quality reviews on provider records to validate the ICD10 codes CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to coding and billing staff.

RESPONSIBILITIES

• Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits.
• Ensures the selected CPT code supports the clinical documentation contained in the patient records.
• Consistently meets established productivity targets for record audits.
• Audits all establish provider medical records on by annual basis:
• Audits medical records for accurate CPT coding assignment.
• Maintains audit lodge
• Compiles reports with an analysis of findings from the medical record audits.
• Ensures the selected CPT code supports the clinical documentation contained in the patient records.
• Consistently meets established productivity targets for record audits.
• Medical Staff Relationship:
• Communicate (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
• Designs and implements in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
• Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
• Communicates to participants the benefits of complete clinical documentation.
• Train new employees on the revenue cycle team on coding and documentation guidelines
• Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
• Performs coding procedures as needed and warranted
• Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
• All other duties as assigned within the scope and range of job responsibilities

EXPERIENCE/EDUCATION/QUALIFICATION

Experience:

• Must have a minimum of five (5) years of Inpatient /Outpatient coding and auditing experience required
• Coding in multispecialty group practice settings preferred

Education:

• Must have at least an associate Degree Related field
• Bachelors related field preferred

Licenses Certifications and Registration:

• Must be a Certified Professional Coder

Mobile Health Team Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally. Our mission is clear to bridge the staffing gap in the healthcare industry by creating and maintaining longterm working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our clients needs.