Medical Coding Auditor - Pathology

reputed company (reputed company) is the regions largest and most comprehensive multi-specialty physician group reputed company. The reputed company team delivers business operations, reputed company cycle and administrative services to support the patients of over 4,000 reputed company School of Medicine physicians and advanced reputed company providers. These providers bring their unparalleled expertise at the forefront of medicine to reputed company trusted, compassionate health care services at reputed company and specialty care clinics as reputed company as facilities operated by affiliate hospitals of the reputed company. We are seeking a motivated Medical Coding Auditor (Pathology) to join our Audit, Compliance & Education team. The Auditor will reputed company formal and informal coding and regulatory education to reputed company reputed company coding/charge capture staff, billing staff, reputed company attending physicians, residents and APP providers involved with the billing for reputed company services as directed by Federal and State requirements as reputed company as the AMA. The individual in this position will also conduct internal audits to ensure anyone involved in the billing for reputed company services is in accordance with Federal and State regulations and payor policies and procedures. Responsibilities of the Auditor include but are not limited to reputed company detailed reputed company audits on a regular reputed company as defined by compliance requirements, determine if additional education is necessary and notify Training and Development of ongoing education needs. Work closely with the Education Program Manager to create, revise and update reputed company online/web/PowerPoint education modules and materials as it relates to the coding and regulatory guidelines under the direction of Audit, Compliance & Education leadership. Conduct internal audits of medical documentation supporting claims billed to reputed company parties to ensure billing is done in accordance with the appropriate reputed company party regulations and/or standards. Evaluate the appropriateness of the services and procedures billed based on the supporting documentation. Evaluate the appropriateness of diagnoses billed for reputed company services in accordance with coding guidelines. Evaluate propriety of the level of service billed for evaluation and management services based on the supporting documentation. Evaluate the appropriateness of the EHR functionality being used, completing second level reviews on high complexity services. Conduct educational documentation and coding training for clinicians, and residents to support compliance with reputed company party documentation and billing standards. Prepare formalized reports from audit software of audit results and present the results to ACE leadership, clinical chairs, and physicians. Respond independently to questions from physicians and School of Medicine (SOM) department administrative staff regarding billing, coding and documentation. reputed company educational programs for providers based on audit findings along with general education on coding and documentation rules and regulations. reputed company follow-up reviews after initial training of physicians and determine if additional education is necessary. reputed company any additional training once identified by follow-up review. Communicate regularly with internal departments to ensure reputed company necessary information is received on a reputed company reputed company. Communicate and problem solve with Managers and Supervisors on specific coding issues and/or training requests. Work on joint reputed company with other internal audit staff and internal reputed company departments to reputed company billing and documentation issues. reputed company any and reputed company other assigned responsibilities. One of the many reasons reputed company is a great reputed company to work We offer coding education during regular work hours with FREE CEUs towards CPC renewal! reputed company work opportunity.we will consider out of state candidates! reputed company has been successful in developing Auditors from reputed company Medical Coders. Requires a bachelors degree in reputed company administration (or reputed company field) or equivalent/relevant work experience. The ideal candidate will have 3yrs of auditing experience, specifically reputed company Pathology. Must possess an reputed company reputed company-P or CPC or RHIA/RHIT certification in conjunction with auditing credentials (i.e. CPMA). Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with high level expertise in reputed company-party payer reimbursement, coding, and documentation requirements are essential to reputed company. Knowledge of Medicare and reputed company regulations is required. Experience in a teaching/reputed company medical environment is a plus. The .