Oct 03, 2023
Summary: Reports to PFS Manager responsible for audit and education. Performs coder and provider audits of ICD-10 codes CPT codes HCPCS codes and HCCs. Prepares training materials and provides education as needed. Stays abreast of industry and payer changes pertaining to coding and documentation guidelines Responsibilities: Audit professional ambulatory medical records (inpatient visits outpatient visits medication administration surgeries and office/clinic procedures) to assure billed codes are accurately supported by the documentation. Possess knowledge of teaching physician regulations including incident to split shared and attestation requirements. Review diagnoses procedures and modifiers assigned by coders and record outcomes. Share completed audit results with Validation Team Leadership who will relay results to Coding Manager and/or Director so they can provide feedback to the individual coders as needed. Review diagnoses and procedures assigned by providers and...
Lifespan
Remote * (Providence, RI, USA)