Physician Coding Auditor

LHH has a client located in Remote who needs a Physician Coding Auditor a contract opportunity!

This is a great chance to work with a well-known technology company to advance your career. (Extension possible based on business need)

Position- Physician Coding Auditor

Location- North California only (Remote)

Pay Rate- $41- $45/ hr.

Job Description-

The Outpatient Physician Coding Auditor and Educator specializes in the auditing and educational enhancement of medical record documentation and coding for outpatient services. This role ensures compliance with coding standards by reviewing and analyzing medical records associated with procedures, surgeries, and treatments that do not require an overnight hospital stay. The professional will implement the elements of the Coding Education Program, including conducting focused coding audits, monitoring coder accuracy, and providing targeted coding education to groups, providers, and coders.

• Key Responsibilities:
• Implement and manage the Coding Education Program by conducting focused audits, monitoring coder accuracy, and carrying out educational initiatives.
• Develop and deliver coding education for assigned groups, resolving questions related to coding and documentation requirements.
• Generate and implement educational opportunities to support coding and documentation compliance, aimed at improving the integrity and quality of patient data.
• Serve as a coding resource for department managers, physicians, and administration, providing guidance on ethical coding standards and regulatory requirements.
• Develop and disseminate training materials and aids, deliver coding and documentation training consistent with industry standards.
• Supervise and ensure coding quality for assigned foundations, developing strategies to address non-compliant or high-risk coding practices.
• Partner with management to implement corrective action plans and educational programs that reduce edits and denials.

Requirements:

Must have experience in CPT and E&M Auditing.

AHIMA or AAPC coding certification (CCS-P, CPC, COC, CPC-P) required.

Proficiency in Epic Resolute and Ambulatory, PowerPoint, Excel, including pivot tables and charts.

Knowledge of ICD-10, CPT, HCPCS coding, and associated billing edits such as NCCI.

Experience with coding auditing tools such as MD Audit and encoding software tools like Ingenix Encoder Pro, 3M.

Ability to review, analyze, and interpret billing guidelines and state and federal regulations.

Education:

High School Diploma or equivalent education/experience.

Experience:

Minimum of 4 years of relevant experience.

Certification & Licensure:

CCS (Certified Coding Specialist) preferred.

Physical Activities and Requirements: Shift Info: Day 5x8-Hour (08:00 - 17:00)

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility