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Medical Coder Auditor $24/hr in Tampa, FL at Vaco

Date Posted: 1/31/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Tampa, FL
  • Job Type:
    Health Care
  • Experience:
    At least 3 year(s)
  • Date Posted:
    1/31/2018
  • Job ID:
    CPCCODER

Job Description

One of our healthcare clients is looking for a Medical Coder Auditor to join their team!

Coder Auditor II

Demonstrates proficiency in all aspects of outpatient coding. Complies with all aspects of Coding and Corporate Compliance standards. Abides by all ethical standards and adheres to official coding guidelines. Performs other duties as assigned.


Essential Functions:

Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues.

Interacts with physicians and center administrators regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.

Provides second-level review of billing performances to ensure compliance with legal and procedural policies to ensure adherence to regulations prohibiting unbundling and other questionable practices. Report coding patterns identified within the audit process to the Supervisor, and identify corrective measures to compliance problems.

Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9 materials, the Federal Register, and other pertinent materials.

Enhances professional growth and development through in-service meetings, educational programs, conferences, etc. Maintains strictest confidentiality.

Assists in the preparation of training materials.

Performs related work and projects as required.

Education:

CPC CCS-P, or CPMA certification required.

High School diploma or equivalent

Experience:

Must have 2-3 years of coding experience in a Primary Care environment.

Knowledge, Skills, and Abilities:

Excellent understanding of medical terminology, disease process and anatomy and physiology.

Strong understanding of ICD-9-CM coding classification.

Excellent understanding of CPT coding within a Primary Care environment.

Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) and Medicare Advantage reimbursement a plus.

Strong Computer skills (i.e. MS Office).

Good organizational skills and ability to meet designated deadlines and productivity standards

Ability to work well with all levels of staff in a courteous, professional manner.

Strong interpersonal and communication skills.

Valid driver's license

Ability to travel to various clinics within Florida.

Bilingual a plus (English/Spanish)