Internal Medical Coding Auditor

Practice Resources, LLC (PRL) seeks a full-time Remote Internal Medical Coding Auditor.

Job Description

• Review medical documentation from physicians and other healthcare providers to validate modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards submitted by certified medical coders and coding auditors.
• Experience with coding/auditing multi-specialty accounts, including and not limited to Internal Medicine, Gastroenterology, Neurology, Neurosurgery, General Surgery, Orthopedics, OBGYN, Dermatology, Emergency Medicine, and Hospitalists.
• Internal Auditor will convey audit results to management. Management and the internal auditor will schedule audit meetings with the coder/auditor to discuss results and provide strategies to improve accuracy if necessary.
• Certified medical coding specialist would thoroughly understand National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
• Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, and standards.
• Be self-motivated and able to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information.
• Participate in coding team meetings and serve as a subject matter expert.
• Maintain productivity standards for assigned work types and uphold company accuracy scores.
  
  

Qualifications

• Medical coding specialist must be a certified coder (AAPC, AHIMA)
• Candidate with RHIT, RHIA, CCS, CCS-P, CPC, CPMA or CEMC preferred
• Must have a minimum of 3 years of coding experience
• Inpatient ProFee experience preferred
• Have a thorough knowledge of anatomy and medical terminology
• Must have a thorough understanding of codebook resources; CPT, HCPCS Level II, and ICD-10-CM
• Possess excellent communication skills
• Knowledge of Medent, Healthpac, NextGen and Epic desired.
  
  

Practice Resources, LLC offers a competitive salary and benefits package, including health, dental, vision, disability and life insurance, 401K/Roth 401K options, PTO and flex spending. This is a remote position, with flexible hours after the training period, that allows you to manage a healthy work-life balance. Pay range for this position is $18.00-$30.00 per hour.