Certified Medical Coder/Auditor

To monitor professional/ technical charges and ICD-9 codes from clinical information, and to train physicians and staff in coding and billing in order to maximize revenue generation for the Department of Medicine.

1. Analyze and interpret fee tickets/medical records to identify and determine amount and nature of billable services
2. Assign and sequence appropriate diagnostic/procedure billing codes in compliance with Medicare and third party payors
3. Review documentation to establish compliance with teaching physician billing guidelines
4. Compile monthly billed revenue statistical reports
5. Analyze data/reports to identify trends, issues and risk areas
6. Respond to billing and coding questions from providers, staff and administrators
7. Review patient records and recommend appropriate coding/documentation for deficient records
8. Provide coding overview and training to physicians and staff
9. Work as liaison with business office on coding issues for reimbursement and claims appeals.

Required Skills:
High School diploma or equivalent; Certified CPC or CCS-P coder; and 3 years of professional coding experience required.





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