Senior Coding Specialist Auditor

The role requires:

*Retrieval and review of documentation in
medical records from various client EMR
systems.
*Verify the completeness of the
documentation and coding in
accordance with the coding compliance
guidelines.
*Verify the assigned diagnoses, procedural
codes, modifiers and HCPCS codes adhering to
the general, payer and client specifications (in
all forms of audits (prospective, retrospective,
focused).
*Identify errors related to compliance and
coding including (provider/DOS/CPT/Mod/ICD)
in alignment of the general coding guidelines,
client and payer specifications as needed.
*Identify documentation issues which can be
provided to client for documentation
improvement
* Provide written and verbal feedback to the
coders on the errors identified
* Provide daily audit reports and scores to the
team members.
*Conduct huddle meetings on the identified
errors
*If there is a demand, should participate in
coding related discussions with client