Coding Auditor

Coding Auditor

General information

Job Title

Coding Auditor

Functional Area

Teammate – Revenue Cycle

City

Remote

Work Location Type

Remote

State

Remote

Employment Type

Full-time (30+ hrs/week)/FULLTIME

Description & Requirements

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Position Description & Requirements

PRACTICE OVERVIEW

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare.Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology.Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience.Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

POSITION SUMMARY

Radiology Partners is seeking a Medical Coding Auditor who will be accountablefor conducting coding and data quality audits of all imaging modalities in the Coding department. The Medical Coding Auditor will be responsible for correcting coding errors, reviewing denials and providing thorough investigation of re-coding for submission. Will work with the Coding Manager on implementing the coding review workflow that includes but not limited to sampling methodology, medical record review/audit approach, validation criteria, audit result reporting, root cause analysis and corrective action plan.
POSITION DUTIES AND RESPONSIBILITIES

Review medical records for the determination of accurate assignment of all documented ICD 10 codes for diagnoses and procedures

Validate and correct coding errors for all aspects of the charge. Perform all other duties as assigned

Investigate and recode any applicable denials after thorough research

Provide real time dictation feedback, audit feedback and/or education/training to physicians, coders and other teammates on coding and clinical documentation and communicate for need for documentation to ensure accurate coding

Demonstrate ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures

Identify and communicate documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to Coding Manager for follow-up and resolution

Evaluate and prepare as indicated daily, weekly and monthly reports indicating coding quality levels and opportunities for charge capture and revenue integrity

Monitor, prepare and present reports including, but not limited to, coding accuracy, medical record deficiency, coding validation discrepancies or completeness of procedure report

Stay current with AHA Official Coding and Reporting Guidelines, CMS, ACR, AMA and other agency directives for coding

Attend coding seminars on annual basis for outpatient coding

Perform other reasonably related duties assigned by the Coding Manager or other management

Provide coverage when available or needed in the department

Perform other reasonably related duties assigned by the Coding Manager or other management

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

2+ years related coding audit or medical record review experience

Must be detail oriented and have the ability to work independently

Computer knowledge of MS Office and proficient in internet resources

Extensive knowledge of medical record documentation requirements mandated by AMA, ACR, AHA, State and federal regulations

Excellent verbal/written communication and interpersonal skills

Advanced/Thorough/detailed knowledge of ICD-10 and CPT coding systems

Skilled in performing coding quality assessment/analysis

High School Graduate or GED equivalent preferred, and some level of advance study highly preferred

Previous coding experience a must

Computer software skills and knowledge required

RCC certification or other qualified coding certification required

Must have extensive knowledge of anatomy, medical terminology, CPT, ICD-10, HCPCS, Modifiers & PQRS codes

Radiology Partners is an equal opportunity employer.RP is committed to being an inclusive, safe and welcoming environmentwhereeveryone hasequal access and equitable resources to reach their fullpotential.We are united by our Mission to Transform Radiology and in turn have animportantimpacton the patients we serve and the healthcare systemoverall.We hold that diversity is a key source of strength from which we will build apracticeculturethat is inclusive for all.Our goal is to empower and engage the voice of every teammate topromoteawareness,compassion and a healthy respect for differences.

The hourly range for this position is $27.50 – $30.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

• : When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.