Surgical Coding Auditor

Adecco is urgently seeking a professional Coding Auditor for a medical company in Neptune, NJ. The Coding Auditor must have extensive knowledge of inpatient and outpatient surgical coding and auditing for various surgical specialties, with preparation and presentation of audit results. 

Responsibilities:

•    Perform audits of surgical coding and documentation compliance audits for providers, including physicians and mid-level providers.  Prepare reports of audits and present audits to internal and external parties as needed
•    Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance
•    Accurate selection of CPT codes for procedures and surgeries performed including accurate application of modifiers and ICD-10 CM coding
•    Evaluate and report on the overall quality of physician documentation that supports selected codes most specifically but not inclusive of medical necessity
•    Adhere to local and national coverage determinations, and CCI and payer specific editing rules
•    Ensure appropriate documentation and coding of split/shared services, teaching physician guidelines and any client specific quality assessment programs
•    Compile, trend, analyze and report on all findings that do not meet all of the guidelines listed above
•    Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
•    Maintain a professional attitude 
•    Other duties as assigned by the management team 

Qualifications:
•    Coding certification required from AHIMA or AAPC with additional surgical specialty preferred.
•    High School graduate or equivalent
•    Minimum 3 to 5 years of coding  and/or auditing experience
•    Knowledge of Microsoft Word, Outlook, Excel
•    Must be able to use job-related software
•    Surgical coding experience a plus

For consideration click "Apply with Adecco" to submit your resume. 

Equal Opportunity Employer Women/Minorities/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_99_177600_486889