Coding AuditorGeneral information
Job Title
Coding Auditor
Functional Area
Teammate –Revenue Cycle
City
Remote
Work Location Type
Remote
State
Remote
Employment Type
Full-time (30+ hrs/week)/FULLTIMEDescription &Requirements
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Position Description &Requirements
PRACTICE OVERVIEW
Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare.Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology.Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience.Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
POSITION SUMMARY
Radiology Partners is seeking a Medical Coding Auditor who will be accountablefor conducting coding and data quality audits of all imaging modalities in the Coding department. The Medical Coding Auditor will be responsible for correcting coding errors, reviewing denials and providing thorough investigation of re-coding for submission. Will work with the Coding Manager on implementing the coding review workflow that includes but not limited to sampling methodology, medical record review/audit approach, validation criteria, audit result reporting, root cause analysis and corrective action plan.
POSITION DUTIES AND RESPONSIBILITIES
Review medical records for the determination of accurate assignment of all documented ICD 10 codes for diagnoses and procedures
Validate and correct coding errors for all aspects of the charge. Perform all other duties as assigned
Investigate and recode any applicable denials after thorough research
Provide real time dictation feedback, audit feedback and/or education/training to physicians, coders and other teammates on coding and clinical documentation and communicate for need for documentation to ensure accurate coding
Demonstrate ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures
Identify and communicate documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to Coding Manager for follow-up and resolution
Evaluate and prepare as indicated daily, weekly and monthly reports indicating coding quality levels and opportunities for charge capture and revenue integrity
Monitor, prepare and present reports including, but not limited to, coding accuracy, medical record deficiency, coding validation discrepancies or completeness of procedure report
Stay current with AHA Official Coding and Reporting Guidelines, CMS, ACR, AMA and other agency directives for coding
Attend coding seminars on annual basis for outpatient coding
Perform other reasonably related duties assigned by the Coding Manager or other management
Provide coverage when available or needed in the department
Perform other reasonably related duties assigned by the Coding Manager or other management
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
2+ years related coding audit or medical record review experience
Must be detail oriented and have the ability to work independently
Computer knowledge of MS Office and proficient in internet resources
Extensive knowledge of medical record documentation requirements mandated by AMA, ACR, AHA, State and federal regulations
Excellent verbal/written communication and interpersonal skills
Advanced/Thorough/detailed knowledge of ICD-10 and CPT coding systems
Skilled in performing coding quality assessment/analysis
High School Graduate or GED equivalent preferred, and some level of advance study highly preferred
Previous coding experience a must
Computer software skills and knowledge required
RCC certification or other qualified coding certification required
Must have extensive knowledge of anatomy, medical terminology, CPT, ICD-10, HCPCS, Modifiers &PQRS codes
Radiology Partners is an equal opportunity employer.RP is committed to being an inclusive, safe and welcoming environmentwhereeveryone hasequal access and equitable resources to reach their fullpotential.We are united by our Mission to Transform Radiology and in turn have animportantimpacton the patients we serve and the healthcare systemoverall.We hold that diversity is a key source of strength from which we will build apracticeculturethat is inclusive for all.Our goal is to empower and engage the voice of every teammate topromoteawareness,compassion and a healthy respect for differences.
The hourly range for this position is $27.50 –$30.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health &wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
- : When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers;and (2) Education and Employment History.