New York, New york
Coding Auditor Job Opening in New York, New york - Coding Auditor
Must be certified as a CPC (Certified Professional Coder)
Certified Risk Adjustment Coder (C.R.C) or Certified Professional Medical Auditor (C.P.M.A) is preferred.
Minimum of 3-5 years of medical coding experience, including ICD-9/10 and Risk Adjustment Coding
Experience in a consultative role in a physician office, hospital, or insurance office setting.
Minimum of 1 year of experience in a training role relating to ICD-9/ICD-10 coding.
Duties:
Identifies training opportunities related to federal guidelines, best practices, and medical record documentation requirements.
Collects and analyzes data to formulate recommendations and solutions based on audit trends and results.
Provides feedback to Risk & Recovery leadership on performance improvement opportunities as a result of performance gaps.
Acts as a subject matter expert to internal and external stakeholders in the area of federal requirements and best practices.
Participates in and represents the department in business leadership groups, including external professional groups specializing in coding and provider education.
Assists the business with research and documentation of workflows and policies and procedures.
Job Type: Contract
Required experience:
ICD-9/10: 3 years
risk adjustment: 3 years
Medical Coding: 3 years
Required license or certification:
CPC
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