Coding Auditor, IP Workstream

Role Overview: As a Coding Auditor, you will be responsible for inpatient and outpatient coding and auditing for various specialties. Your role will also involve preparing and presenting audit results to internal and external parties. Key Responsibilities: - Perform coding audits and compliance audits for providers, including physicians and mid-level providers - Prepare reports of audits and present findings to relevant parties - Apply appropriate coding and documentation guidelines accurately, such as E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance - Provide physician education based on audit findings or edit and denial trending - Conduct coding audits for copartners coding WQ and work with offsite auditors - Evaluate and report on the quality of physician documentation supporting selected codes, particularly focusing on medical necessity - Ensure proper documentation and coding of split/shared services, teaching physician guidelines, and client-specific quality assessment programs - Compile, trend, analyze, and report on all findings that do not meet the specified guidelines - Maintain a professional attitude and perform any other duties assigned by the management team - Use, protect, and disclose patients" protected health information (PHI) in compliance with HIPAA standards Qualifications: - High School diploma or equivalent - CPC or CCS coding certification from AHIMA or AAPC - Minimum 5 years of coding experience and at least 2 years of auditing experience in a multi-specialty setting - Proficiency in Microsoft Word, Outlook, and Excel - Ability to use job-related software - Self-starter with the capability to work independently Additional Details: Not mentioned in the provided job description.,