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Professional Auditor, E/M Multispecialty

Industry: Auditor - EM Job Number: 2910

Job Description

Founded in 1994, Managed Resources, Inc. (MRI)/CodingAID, headquartered in Long Beach, California, partners with clients nationwide to help them solve complex healthcare revenue cycle and compliance challenges. In our 25+ years of operations, MRI/CodingAid has had the pleasure of working with many of the most prestigious healthcare organizations and medical groups in the country that span from the Hawaiian Islands to the East Coast. We hope you'll apply to join us if the following opportunity aligns with your experience and aspirations!

CodingAID/MRI is currently hiring for a Professional Auditor with E/M Multispecialty experience, specifically with Hematology, Oncology, Behavioral Health and Hospitalists.  This is a remote position.
The primary responsibility of the Professional Auditor is to audit CPT, HCPCS, ICD-10-CM, Modifiers, Units and identify documentation and coding discrepancies and improvements based on medical record documentation. 

Accountabilities: 

  • Meet client expected turn-a-round times for completing work. 

  • Must be able to meet the minimum productivity standards.  

  • Must meet or exceed 95% accuracy rate on quality reviews.   

Essential Job Functions: 

Complete the following functions in accordance with Managed Resources policies: 

  • Audit all E/M, CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documentation.  

  • Enter audit data into audit software or other audit report.  

  • Evaluate the overall quality of physician documentation for quality improvement measures.  

  • Perform accurate coding using applicable guidelines and client protocols. 

  • Communicate with client and/or providers as needed (i.e. coding clarification, missing documentation, etc.)  

  • Provide written feedback of audit results in the form of chart level comments, summary findings and recommendations. 

  • Communicate with Project Manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.).  

  • Track and enter time accurately and timely into our timekeeping system.  

  • Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities  

  • Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.  

  • Other duties as assigned 

Ideal candidate will possess the following: 

  • Must have current AAPC credential, CPC is a plus 

  • A minimum of five - seven years’ experience required auditing E&M, CPT, HCPCS and ICD-10-CM codes. 

  • CPMA or equivalent audit credential. 

  • Requires advanced technical knowledge in specific surgical and medical specialties as assigned.  

  • Extensive knowledge of medical terminology. 

  • Experience in researching and applying coding rules and regulations.  

  • Experience working in an audit software tool.     

  • Proficiency in Microsoft Excel, Word, and various EMR (Electronic Medical Record) systems. 

  • Excellent oral and written communication skills. 

  • Excellent time management and organizational skills.  

  • Have a positive, respectful attitude. 

CodingAID, a division of Managed Resources Inc., is an Equal Opportunity Employer (EOE) M/F/D/V/SO 

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