- Analyze and verify accuracy of coding and abstracting of clinical data from medical records against billed procedures to ensure compliance with national coding guidelines and payer-specific requirements
- Provide feedback and education to coding staff based on audit findings to improve accuracy and compliance
- Assist in the development and implementation of auditing tools and processes to identify areas for improvement
- Collaborate with the coding team and management to implement best practices and continuous quality improvement initiatives in outpatient coding
- Stay abreast of changes in coding guidelines, regulations and technologies
Outpatient Coding Auditor Requirements:
- Current certification as a CCS (Certified Coding Specialist), CPC (Certified Professional Coder), RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) required
- 3+ years of experience in outpatient coding or auditing
- Thorough knowledge of medical terminology, anatomy, physiology and pharmacology
- Proficient in ICD-10-CM and CPT coding systems and guidelines
- Strong analytical skills and attention to detail
