Inpatient Medical Coding Auditor

Medical Coding Auditor is responsible in maintaining accurate audit to medical records coded by the coders and communicate with them on the findings. Auditor must ensure compliance to coding guidance, facility specific instructions and confidentiality of information. Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations and Quality.
Essential Functions:
1. Audits medical records that are coded to identify possible undercoded and/or upcoded services.
2. Prepares reports of the findings and meets with the respective coder to communicate clearly the errors and provide education in line with appropriate coding practices and compliance issues.
• Inpatient Specialty: principal diagnosis, secondary diagnosis, procedures (ICD 10 PCS), Diagnosis-Related Group (DRGs), Present On Admission (POA) findings, discharge disposition.
3. Stays current with Official Coding and reporting Guideline, CMS directives for ICD 10 ...