Medical Coding Auditor – TOP PAY!

CPC Certified

3 years of experience – coding or auditing

Performs paper and EMR chart audits for medical oncology physicians/providers in accordance with 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.

Metrics – Completing tasks within 48 hours, at least 80 modifier 25 audits per day and all other audits completed according to the audit schedule.

They will complete 9 different audits-

E&M, Modifier 25, documentation audits, comprehensive audits, external audit requests (RAC,CERT, TPE..etc), Research audits.

In office provider coding education for all new providers and providers and providers who have an error rate greater than 10%.

Ad Hoc audits requested by the practice.

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.