Full-time; Company Description. There are many benefits to a strong coding audit Job Summary The coding auditor is responsible to perform audits of documentation and coding of outpatient and/or inpatient services coded by coding staff. The Medical Record Coding Auditor reviews insurance payments and denials and recommends billing corrections. To help identify and correct problem areas before insurance or government payers challenge inappropriate coding, To help prevent governmental investigational auditors like recovery audit contractors (RACs) or zone program integrity contractors (ZPICs) from knocking at your door, To remedy undercoding, bad unbundling habits, and code overuse and to bill appropriately for documented procedures. Build and maintain a professional relationship with internal and external customers. There are many reasons to perform medical audits: To help medical professional maximize coding and billing efficiency and quality of care through auditing, AAPC has the Certified Professional Medical Auditor (CPMA®) credential. Get more information on how AAPC Client Services can fulfill your auditing needs. A Coding Audit is an internal or external review of a medical office’s coding practices conducted by reviewing patient medical records. Job Description. Medical records auditors must be experts on medical coding systems, such as the Current Procedural Terminology and International Classification of Diseases systems, and medical billing and reimbursement procedures. For example, as a medical auditor you might be charged with making sure that coding … The average Medical Record Coding Auditor salary in Atlanta, GA is $62,200 as of December 28, 2020, but the range typically falls between $54,100 and $70,300.Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you … Coding Audit Our Coding Audits are performed by highly experienced AHIMA and/or AAPC-certified coding experts who will identify any potential problems with billing documentation and coding accuracy. A Medical Coding Auditor in your area makes on average $8,099 per month, or $188 (2%) more than the national average monthly salary of $7,911. As a result, health information management (HIM) departments were open to hiring staff with a lesser skill set and providing on-the-job training. Do they have to travel a lot? Quality health care is based on accurate and complete clinical documentation in the medical record. Once areas of weakness are revealed through an audit, you can present the audit findings and identify opportunities for training in your health care organization. The risks of being non-compliant with documentation and coding are too great. TRAINING & EDUCATION. A medical claims auditor, also called a medical coding auditor, is a medical coding professional who ensures that medical claims, medical records and other documentation essential to the healthcare industry is in compliance with federal and industry standards. Is HCC considered auditing? Certified Coding Associate (CCA ®). Remote. How much does a Medical Record Coding Auditor make in Atlanta, GA? To identify reimbursement deficiencies and opportunities for appropriate reimbursement. There are many benefits to a strong coding audit Self-study, entry-level coding certification. Continuously obtaining and utilizing knowledge of UCLA, AHA-Coding Clinic, CMS, and AMA CPT Assistant guidelines, medical terminology, … Consequently, the primary focus of coding audits during that time was to ensure coder proficiency with the new coding system. Responsible for developing and conducting a variety of training programs and/or auditing tools for the Medical Billing and Coding team. The average hourly pay for a Medical Coding Auditor in Los Angeles, California is $31.50. A Medical Coding Auditor in your area makes on average $97,184 per year, or $2,248 (2%) more than the national average annual salary of $94,936. You must have an acute eye for detail to be able to identify technical problems with these complex codes. , financial and/or coding medical record audit experience; or Nursing experience in an acute care hospital, case management, utilization management, or clinical…The Network Healthcare Compliance Auditor audits, … Core Responsibilities Include: Providing audit services including ICD-9-CM/PCS and ICD-10-CM/PCS Coding Performing coding … of (Name of Medical Practice) .The (Name of Medical Practice) develop audit tools designed to address the practice’s auditing compliance with CPT, HCPCS, and ICD-9-CM coding, billing, CCI and LCD’s, claim development and submission, reporting, and documentation. Consequently, the primary focus of coding audits during that time was to ensure coder proficiency with the new co… Indeed may be compensated by these employers, helping keep Indeed free for jobseekers. Today Save job Not interested Report Job CLICK FOR MORE INFORMATION. Core Responsibilities Include: Providing audit services including ICD-9-CM/PCS and ICD-10-CM/PCS Coding Performing coding quality reviews Performing QA reports and prepare data to be used in report preparation To determine outliers before large payers find them in their claims software and request an internal audit be done. Medical records auditors must be experts on medical coding systems, such as the Current Procedural Terminology and International Classification of Diseases systems, and medical billing and reimbursement procedures. Our medical coding company is composed of AHIMA or AAPC certified coders are experienced in facility, pro-fee, and risk adjustment coding and consulting for a wide range of specialties. CodingAID, a Specialized Division of Managed Resources: CodingAID provides the highest standard of 100% on-shore coding staffing support, medical coding compliance reviews, DRG review, medical coding audits, as well as educational and training programs. The coding auditor is responsible to perform audits of documentation and coding of outpatient and/or inpatient services coded by coding staff. Prepare for certification and a career in medical auditing, Validate your knowledge, skills, and expertise with medical auditing certification, © Copyright 2021, AAPC Manages and conducts specific medical billing and coding audits to evaluate completeness of medical record documentation, identifies aberrant coding … Small details in the documentation can have meaningful impacts on the ascribed coding, and thus material impacts on the appropriate reimbursement for the encounter. A medical auditor works in the health care field to determine that information coding systems and organization techniques are accurate. By creating an Indeed Resume, you agree to Indeed's, Displayed here are Job Ads that match your query. Audits medical records to ensure compliance with the organization's coding procedures … A revenue cycle and health information management solutions company has an open position for a Telecommute Inpatient Medical Coding Auditor. A medical claims auditor, also called a medical coding auditor, is a medical coding professional who ensures that medical claims, medical records and other documentation essential to the healthcare … How much does a Medical Record Coding Auditor make in Atlanta, GA? Whether it's Recovery Audit Contractor (RAC) audits, private payer denials, or just peace of mind, more physicians plan to have audits conducted regularly. Responsible for developing and conducting a variety of training programs and/or auditing tools for the Medical Billing and Coding team. Nationally recognized for our experience and leadership, enabling us to provide innovative and comprehensive medical care … Key Responsibilities: Perform preliminary and … Our medical coding company is composed of AHIMA or AAPC certified coders are experienced in facility, pro-fee, and risk adjustment coding … To reveal whether there is variation from national averages due to inappropriate coding, insufficient documentation, or lost revenue. Medical auditors check the work of medical coders and billers. Aviacode has delivered superior outsourced medical coding & medical coding compliance services to healthcare systems and providers for 20+ years. Medical record audits specifically target and evaluate procedural and diagnosis code selection as determined by physician documentation. PRL is a premier medical billing and practice management company centrally located in downtown Syracuse. Reports on the accuracy of procedure coding, E&M coding, ICD-9 coding … A medical auditor identifies incomplete documentation that could affect a healthcare facility's livelihood by examining the coding procedures and ensuring the organization complies with regulatory requirements. They … Coding professionals who hold the CCA credential have demonstrated coding competency across all settings, including hospitals … ranks number 1 out of 50 states nationwide for Medical Coding Auditor salaries. Practice Resources, LLC (PRL) is seeking a Medical Coding Auditor. The SIU Medical Coding Auditor conducts comprehensive reviews of medical records and documents supporting claims for medical and behavioral health care services. Alicia: A: Actually HCC has a lot of auditing, its aspect, because you are not just looking at one encounter and then going to another patient, and another encounter and going to another patient, it’s a year’s worth of documentation for one patient at a … The Auditor will provide formal and informal coding and regulatory education to all CU Medicine coding/charge capture staff, billing staff, all attending physicians, residents and APP … Tip: Enter your city or zip code in the "where" box to show results in your area. ICD-10 was a new frontier and few, if any, coding professionals had experience with the system. A annual base-line audit … Core Responsibilities Include: Providing audit services including ICD-9-CM/PCS and ICD-10-CM/PCS Coding Performing coding … Medical auditing is a critical piece to compliant and profitable physician practices. Become an Auditor To help medical professional maximize coding and billing efficiency and quality of care through auditing, AAPC has the Certified Professional Medical Auditor (CPMA ®) credential. 24d. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Medical Policy Specialist Senior / Medical Coder - Auditor NTT DATA PA - Wayne Full-Time/Part-Time JOB RESPONSIBILITIES: Provide subject matter expertise in medical policy and coding: CMS, State … Each test taker needs to audit approximately 20 health care cases. Identifies, researches, resolves and reports any issues preventing or disrupting daily workflow. A certified medical auditor will be able to create an effective compliance program that will contain an annual review of coding and documentation in order to … HMI is the best Medical Coding Auditing Companies and Performs Outpatient Medical Coding Reviews and Medical Coding Audit Services. Medical record review is usually conducted in a controlled office environment. Now that coding professi… They are necessary to determine areas that require improvements and corrections. Practice Resources, LLC (PRL) is seeking a Medical Coding Auditor. Clearwater, FL. To protect against fraudulent claims and billing activity. 3.6. NAMAS offers comprehensive auditing of medical coding to help ensure compliance. Conducts audit of medical records and healthcare claims assessing the accuracy of medical coding and determining compliance with appropriate policies, procedures and regulations; Prepares and submits detailed reports on audit findings making recommendations to correct deficiencies and/or practice or process improvements A medical auditor may begin her career working in medical billing and coding. Privacy Policy | Terms & Conditions | Contact Us, Certified Documentation Expert – Outpatient, Certified Professional Compliance Officer. ezAssess is a healthcare & medical code auditing software helping auditors identifying coding errors and conduct review during the coding or billing processes, so you can ensure compliance and perform … A certified medical auditor, also known as a compliance auditor, performs audits and reviews of clinical documents, physician billing records, administrative data, and coding records. Medical coding is characterized by thousands of rules and interdependencies. Medical Coding Auditor Performs the Auditing for Clinical, Physician, Inpatient and Outpatient in Nashville, Tennessee in the United States. Medical auditors check the work of medical coders and billers. ICD-10 was a new frontier and few, if any, coding professionals had experience with the system. 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