Outpatient Auditor

Irving, TX - USA

Monthly Salary: Not Disclosed

Posted on: 2 hours ago

Vacancies: 1 Vacancy

Job Summary

Must have a Coding certification from AHIMA or AAPC
3 years Outpatient professional fee coding experience
ICD-10-CM CPT coding & Evaluation and Management experience

Review Outpatient medical records and clinical documentation to provide documentation improvement feedback to providers along with validation of accurate code assignment from the medical records in accordance with Official Coding Guidelines. A clear understanding of physician mid-level provider and residents documentation guidelines within a teaching facility is required.

Review patient encounters for accurate professional fee code assignment of all relevant ICD-10CM diagnosis CPTs procedures including Evaluation and Management leveling and modifier assignment. The ability to provide detailed feedback audit feedback and provide associated supporting references. Perform coder and/or Provider education regarding audit findings.

Perform daily professional fee quality audits to ensure accurate code assignment based on the Provider documentation in accordance with State & Federal regulations in compliance with current industry standards supported by documentation in the medical record.
Provide detailed feedback on any documentation trends per provider.
Provider education on documentation trends to ensure accuracy of the medical record accurate coding.
Answer provider and/or coder questions.
Communication directly with site coding management.

Perform education sessions for providers and/or coder based on audit findings

Required Skills:

Fee codingoutpatientAAPCAudit

Must have a Coding certification from AHIMA or AAPC 3 years Outpatient professional fee coding experience ICD-10-CM CPT coding & Evaluation and Management experience Review Outpatient medical records and clinical documentation to provide documentation improvement feedback to providers along with v...