Coder Quality Auditor
Core
Conducts monthly and quarterly quality assessments of medical codes, provides guidance and education to coding staff, and ensures accuracy of professional fee coding per CMS/AMA guidelines.
Role type
Senior IC medical coder quality auditor
Builds
Accurate medical coding for inpatient and outpatient accounts
Domain
Healthcare revenue cycle management
Required skills
Medical coding, auditing, CMS/AMA guidelines, EMR proficiency, medical/surgical terminology, HIPAA compliance, report generation
Preferred skills
CPC/CCS/CPMA certification, training material development, cross-training staff, process improvement
Technologies
EMR systems, encoders, Microsoft Office suite
Responsibilities
Monitor and audit inpatient/outpatient physician coding, assess coder comprehension via quality reviews, create educational materials and presentations, assist with initial coding edits and denials, serve as technical resource for coding standards, provide audit findings reports to management and providers
Seniority
Senior, hands-on IC