Auditor, Government Services

Remote

Industry: Coder - VA/Govt. Job Number: 2726

Job Description


PROFESSIONAL AUDITOR, GOVT. SERVICES – CODINGAID

Part-Time | Remote

Job Overview/Purpose

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.

Please read the below description and apply if you meet the requirements and would like to hear more about this opportunity with CodingAID.

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, VA guidelines and coding principles.
  • Maintain active PIV and VA access.
  • Other duties as assigned

Ideal candidate will possess the following:
  • A minimum of 5+ years of experience required auditing CPT, E&M, HCPCS and ICD-10-CM codes.
  • Must have the following current credential from AAPC, CPC for a minimum of 5 years.
  • Must have an Associate’ s Degree or higher.
  • Must have experience with Government Services EMR & Encoders
  • Must have current Government Services Badge in active status
  • 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.    
  • 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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