Auditor

• Assure consistent quality coding and training in evaluation and management, office procedures, and surgical coding
• Train and develop current and newly hired remote and on-site coding team members
• Perform quality assurance reviews to assess comprehension of training efforts
• Provide training and continued development based on internal and external audit results
• Serve as a clinical coding subject matter expert
• Analyze and evaluate documentation issues through research and consultation with clinical staff, Coding leadership, and Coding Specialists
• Audit coders using provider documentation to verify ICD-10, CPT-4, and HCPCS codes for clinic, outpatient, and hospital services
• Audit providers to verify medical decision-making level selection for clinic office visits
• Audit complex surgical cases and document audit findings
• Advise and educate Coding Specialists, Patient Financial Services, Providers, and clinical staff
• Manage Revo Coding Education Email and Education WQs
• Research coding questions from Providers, Coding Specialists, PFS, and Coding Leadership
• Communicate yearly CMS and AMA coding updates and coding guideline updates
• Communicate payer updates, policy requirements/changes, and documentation issues
• Conduct annual internal coding policy reviews
• Create workflows and processes as assigned
• Assist Coding Specialists with coding queries and appeal letters
• Support PFS in researching coding denials
• Develop curriculum and training materials
• Participate in or organize coder meetings
• Lead training sessions
• Onboard new providers on documentation requirements
• Code assigned providers based on department needs
• Attend continuing education classes to maintain coding proficiency and certification requirements
• Perform other duties as assigned

Explore Coding Auditor, Educator – Multi Specialty at Infinite Health Collaborative. Review requirements and application details.