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