The Coding Quality Auditor optimizes prospective payment reimbursement and facilitates data quality by creating consistency and efficiency in physician documentation, code assignment, data collection, and claims processing. Responsible for working with physicians, coders, ancillary department staff, CDI, and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Performs retrospective random and focused audits of coding cases to ensure accurate code application and overall coding quality. Performs pre-bill compliance audits to ensure accurate code assignment, application of coding guidelines, and compliance with external regulatory and accreditation requirements. Identifies solutions to improve the overall data quality of the health records and to assure that appropriate reimbursement is obtained for services provided.
This position is remote, but must live in Florida.
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