Coding Compliance Auditor
Job Summary
Auditing medical records for compliance with federal coding regulations, the full-time Coding Compliance Audit & Education Specialist will conduct various audits, prepare reports, and provide education to providers on CPT, ICD-10, and HCPCS coding guidelines.
Key responsibilities
- Conduct baseline, routine, and focused audits comparing medical record documentation to coding standards
- Prepare audit reports summarizing findings and conduct post-audit education for providers
- Act as an internal expert on coding issues, ensuring compliance with state and federal regulations
Required qualifications
- 5+ years of audit and provider education experience preferred
- Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines
- Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required
- Experience with MDAudit and Athena is a plus
- Must comply with all HIPAA rules and regulations
Complete Job Description
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