Physician Auditor / Coder

Medkoder is looking for an experienced multi-specialty, certified professional coderwith extensive knowledge of coding and auditing, for variousE/M and surgicalauditing projects withour clients.This is aFT REMOTEpermanent position that offersthe opportunity to work a flexible schedule.ResponsibilitiesPerformingaudits of E/Mcodingand documentation compliance auditsforproviders,including physicians and mid-level providers;Accurate application of appropriate coding and documentation guidelines, including Evaluation and Management Documentation Guidelines, CPT Coding Guidelines, Coding Clinics, Specialty Association guidance and others, as applicable;Accurate selection of CPT codes to determine if the code was assigned without appropriate documentation to support the code (up-coded services);Accurate selection of CPT codes to determine if the code was assigned with documentation to support a higher level service (down-coded services);Accurate selection of CPT codes for procedures performed;Accurate application of modifiers to CPT codes;Accurate selection and evaluation of ICD-10 CM diagnosis coding;Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;Adherence to Local Coverage Determination (LCDs),orNational Coverage Determination (NCDs),if applicable;National Correct Coding Initiative (NCCI) edits, and payor specific policies, if applicable;Appropriateness of documentation for split/shared or incident to services;Appropriateness of provider's documentation related to Teaching Physician Guidelines, PQRS, FQHC and RHC's as applicable;Use scoring methodology to accurately score audits;Provide detailed findings for each service reviewed on an excel spreadsheet or other customized report, including supporting documentation;Communicate withCoding Team Leadon audit timeline task completion.QualificationsEducation/Cert: A minimum of a high-school diploma, Associates Degree preferred. Successful completion of at least oneAHIMAorAAPCcertified program with achievement of the correlating professional credential (CCS,CPC,etc.); active and in good standing, preferably a combination of two or more credentials. A CPMA certification is required.Experience: Minimum 3 years physician coding experience and 3 years E&M and surgical auditing experience required. Must have proficient knowledge of medical terminology, CPT and/or ICD-9/10 coding and Medicare and Medicaid billing policies for professional services.Additional skills required: Experience with Microsoft Word, Excel, PowerPoint, Windows and healthcare information and billing systems. Experience working independently, excellent time management skills and the ability to meet project deadlines a must.#J-18808-Ljbffr