Medical Coding Auditor

Job Summary :

• Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records.
• Validates abstracted data elements that are integral to appropriate payment methodology.

Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities / Duties :

Reviews medical records to determine accurate required abstracting elements (facility / client / payer-specific elements) including appropriate discharge disposition

Abstracts accurate required data elements (facility / client specific elements) including appropriate discharge disposition.

Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW.

Attends Quarterly Coding Updates and all coding conference calls

Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion.