Physician Coding Auditor and Educator

Company: MedKoder
Location: Mandeville
Posted on: March 18, 2023

Job Description:

Physician Coding Auditor and Educator - Full-time, Corporate Area PositionLocation: Must be located in the Mandeville, Louisiana areaBusiness Travel: RequiredMedkoder is looking for an experienced, multi-specialty, certified professional auditor with extensive knowledge of professional coding and auditing, to perform coding and compliance audits and provide provider education. This is a Full-Time REMOTE position that requires the candidate to live in the Mandeville, LA area. This position does offer the opportunity to work a flexible schedule. There is frequent local travel and occasional overnight travel.Responsibilities:Performing audits of coding and documentation compliance audits of surgeries, visits, and other services for providers, including physicians and mid-level providers;Accurate application of appropriate coding and documentation guidelines, including Documentation Guidelines, CPT Coding Guidelines, Coding Clinics, Specialty Association guidance, and others, as applicable;Accurate selection of CPT codes for services performed; Accurate application of modifiers to CPT codes; Accurate selection and evaluation of ICD-10 CM diagnosis codingEvaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;Adherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor specific policies, if applicable;Appropriateness of documentation for split/shared or incident to services;Appropriateness of provider's documentation related to Teaching Physician Guidelines, PQRS, FQHC, and RHC's as applicable;Use scoring methodology to accurately score audits;Provide detailed findings for each service reviewed on an excel spreadsheet or other customized report, including supporting documentation;Prepare and present customized education materials based on the unique needs of the client remotely and on-site;Communicate with Coding Team Lead on audit timeline task completion.Qualifications:Education/Cert:A minimum of a high-school diploma, Associate's Degree preferred. Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); Successful completion of the AAPC CPMA credential; active and in good standing, preferably a combination of two or more credentials. Ability to travel locally frequently and overnight occasionally.Experience:Minimum 5 years of physician coding experience and 3 years auditing and education experience required. Must have proficient knowledge of medical terminology, CPT and/or ICD-10 coding, and Medicare and Medicaid billing policies for professional services.Additional skills required:Experience with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems. Experience working independently, excellent time management skills, and the ability to meet project deadlines are a must. -MedKoder Perks: - We pay up to 100% of your health, vision, and dental premiums for you! - FREE Group-Life Policy for full-time employees - All positions are permanent - no contracts or sitting on a "coding bench" - Internal Network of Medical Coding Industry Leaders - President/CEO is a Certified Coder with 20+ years - Fantastic time off package! Full-time employees accrue 12 vacation days and have 8 paid holidays per year without any long-term waiting periods - Flexible work schedules, year-round!! - Privately held, growing company with strong values and ethics - Employees are provided professional development and education which includes 30 hours of CEU pay per year - 401K and Profit Sharing - STD, LTD, Life insurance, and FSA Program - Employer Paid AAPC and AHIMA Corporate MembershipsPowered by JazzHR

Keywords: MedKoder, New Orleans , Physician Coding Auditor and Educator, Accounting, Auditing , Mandeville, Louisiana