Professional Auditor - Pathology: Remote

Industry: Coder - Outpatient Job Number: 2916

Job Description

CodingAid is hiring for an experienced Professional Pathology Auditor.

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. 

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 

Education and Experience: 

  • Must have one of the following current credentials from AAPC or AHIMA; CPC, COC, CCS  

  • A minimum of five - seven years’ experience required auditing CPT, E&M, 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. 

Ideal candidate will possess the following: 

  • 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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