Back to jobsPerforms audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. Draws on advanced ICD-10 coding expertise to substantiate conclusions. Utilizes proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
Consistently achieves productivity and quality performance standards established by management.
Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs
Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.
Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.
Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
