Medical Coding Auditor

As the Medical Coding Auditor

If you’re ready to explore the next step in your career:

You’ll enjoy…

Career Opportunities – Tons of growth opportunities for you career

Standard Hours – 100% onsite. Monday-Friday (8:00am-5:00pm)

Competitive Pay – $25.00-32.00 an hour (depending on experience)

Expedited Interviews – Access to additional Resume support and pre-interview questions

A day in the role…

Performs paper and EMR chart audits for medical oncology physicians/providers in accordance with The US Oncology Networks requirements in order to ensure medical records are commensurate with captured charges and billing.

May use a variety of reports to accomplish tasks, such as AMA guidelines, Medicare LCDs, commercial payor billing guidelines, coding manuals and ASTRO/ACR guidelines.

All new providers will have an E & M audit within 90 days.

Prepares a spreadsheet of findings that details discrepancies and summarizes metrics.

Identifies trends that could be perceived as non-compliance with local and federal regulatory guidelines.

Recommends procedural improvements and training opportunities to management.

Provides written audit report to supervisor for review and approval.

Reviews approved audit findings with physicians and mid level providers to discuss recommendations and improvement opportunities; radiation audit technical findings will be forwarded to appropriate hospital contact.

Recommends and documents audit procedures, standard reports, and metrics in order to provide the appropriate information.

Maintains the confidentiality of medical information contained in each record.

Assists with other audits such as; hospital visits, consultations, and others as assigned.

Assists with the audit and compliance or Reimbursement audits such as providing records, audit reports, and standard operating procedure manuals.

Necessary Skills and Strengths:

Medical Coding | ICD-10 Codes | Coding Auditor | Audits | CPC | Insurance Payer Knowledge | Medical Terminology | Attention to Details | Rejections and Denials Interpretation | Medical AR Follow Up | Insurance Authorizations | Insurance Payer Experience |

Core Experience:

CPC Certified – preferred through AAPC

3 years of experience – coding or auditing

E&M coding knowledge- E&M coding involves use of CPT codes ranging from 99202 to 99499. These represent services by a physician (or other health care professional) in which the pr. Evaluation and management (E/M) coding and billing are crucial to maintaining the efficiency and productivity of a medical practice today.

Radiation audit / coding would be a huge plus

Knowledge of excel and spread sheets documenting their finding- spreadsheets are already made for them, just adjust as needed

Experience using modifiers

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.