BethesdaRecruiter Since 2001
the smart solution for Bethesda jobs

Medical Coding Auditor

Company: The Centers for Advanced Orthopaedics
Location: Bethesda
Posted on: November 21, 2022

Job Description:

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nations largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.The Medical Coding Auditor must be a Certified Professional Coder (CPC). The Medical Coding Auditor is responsible for auditing medical records to ensure compliance with the organization's coding procedures and standards. Primary Responsibilities The Medical Coder Auditor may be asked to perform job-related tasks other than those specifically stated in this job description. Primary Responsibilities are to be carried out in a manner that is consistent with the Mission, Core Values and Operating Principles of CAO. Audit medical records to ensure compliance with the organizations coding procedures and standards. Review insurance payments and denials and recommends billing corrections Review and research medical records to determine the accuracy of coding, billing, and supporting clinical documentation Review medical records that have been reviewed and coded by the coding vendor Reviews and research billed unlisted procedure codes to determine if a more specific code exists and should be used. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing Reviews assigned ICD-10-CM codes, which most accurately describe each documented diagnosis and/ or procedure according to established ICD-10-CM and CPT-4 coding guidelines along with modifier usage and medical terminology Monitors all coding accuracy at various levels of detail and maintains coding quality as needed. Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement. Reports or resolves escalated issues as necessary Performs a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered Performs a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered Monitors, audits, and reconciles all documents required for data entry, returns incomplete or questionable documents to generating location or provider Provides a high level of technical education and serves as a subject matter specialist regarding coding and documentation Supports and educates team members about coding best practices and procedures to meet compliance and regulatory requirements Utilizes audit results to provide data driven feedback to providers and management to improve coding accuracy and identify opportunities for improvement and re-training Complies with organizational policies and procedures Other duties as assigned. Requirements, Education, and Experience High School Diploma Certified Professional Coder (CPC) 3-5 years of Surgery coding experience Competencies / Required Skills and Abilities Strong Interpersonal Skills - Ability to develop relationships and collaborate and influence in a decentralized organization. Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results. Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience. Able to work independently. Exudes professionalism in presentation. Must be able to read, write, speak, understand, and communicate in the English language. Benefits Include: -Health, Dental, & Vision Insurance, Life & Disability Benefits, Voluntary Benefits, FSA, 401k & PTO!Job Type: Full-timeBenefits: 401(k) Dental insurance Flexible spending account Health insurance Paid time off Vision insuranceSchedule: 8 hour shift Monday to FridayAbility to commute/relocate: Bethesda, MD 20817: Reliably commute or planning to relocate before starting work (Required)Work Location: One location

Keywords: The Centers for Advanced Orthopaedics, Bethesda , Medical Coding Auditor, Healthcare , Bethesda, Maryland

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest Maryland jobs by following @recnetMD on Twitter!

Bethesda RSS job feeds