Medical Record Audit / Coding Auditor

About the job Medical Record Audit / Coding Auditor OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout FloridaIN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity.To develop and Implement policies to support the clinical coding audit functionReceive, review and communicate findings on patient billing coding related complaints.Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identifiedConduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providersPrepare reports as required relative to these monitoring and review activities.Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities. Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations.TO SUCCEED IN THIS ROLE, YOU HAVE: High School diploma required, Associate Degree preferred; Must be a certified professional coder; Minimum five years hands-on experience in physician coding

Created: 2025-09-27