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Certified Professional Medical Auditor Job in Georgetown, Texas

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Job Title: Certified Professional Medical Auditor

Employer:Med Claims Compliance Corp
Required Certifications:CPMA,CPC
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:723 W University Ave #312 Georgetown 78626, TX, US
Date Posted:12/4/2020

Medical Claim Compliance Corporation is changing how healthcare is delivered, processed and paid. Physicians can focus on quality care for patients and ensure accurate, complete documentation and coding. What makes MCC special is our dynamic team.  We offer competitive salaries and employer paid health insurance.  


Certified Professional Medical Auditor (Austin, TX area preferred or Remote-willing to travel 30%)


This candidate will review our team’s medical record documentation utilizing current ICD-10 and CPT classifications systems, audit coding, and formulate training plans. This individual will closely monitor quality performance across the team, foster positive relationships, and work to empower staff with the goal of improving and maintaining overall quality performance of each team member. The CPMA will also assist with external and vendor audit processes as needed. Functions of this role include reviewing samples of coding performed by all coding staff, providing feedback, and identification of trends for education opportunities. The CPMA will support coding projects, assist with daily coding as needed, and work closely with the HIM Director to track and trend coding and documentation issues, develop targeted provider education, and create best practices for medical record review and diagnosis code abstraction.

This is supporting multiple healthcare systems and is an opportunity to improve patient outcomes, increase revenue for clients and ensure compliance with guidelines and regulations.


·         Serve as final auditing arbiter regarding the Coding Team

·         Track trending of quality review results to identify common quality errors

·         Ensure training programs effectively prepare staff to successfully meet quality standards

·         Monitor quality performance across the team, foster positive relationships, and work to empower staff with the goal of improving and maintaining overall quality performance of each team member.

·         Work closely with leadership to establish, communicate, and track daily audit results

·         Identify training opportunities for internal and external stakeholders related to federal guidelines, best practices, and medical record documentation requirements

·         Provide training, mentoring, and ongoing feedback

·         Reviews and analyzes details of patient encounter records for pertinent data

·         Responsible for timely, accurate, and comprehensive review of documentation and services

·         Codes and reviews diagnostic and procedural information as supported by documentation

·         Abides by Health Insurance Portability and Accountability Act of 1996 in reference to all confidential information obtained through job tasks



·         Preferred BA/BS in Health Sciences, Health Management, or Nursing

·         Must be an accredited: CPC

·         Must be an accredited: CPMA

·         Must be ICD-10 and CPT proficient

·         3 Years Coding Experience  

·         2 Years Auditing and Training

·         Strong knowledge and understanding of EMR and HIPAA

·         Excellent computer skills, MS Office

·         Expertise in reviewing clinical information and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers

·         Expertise in medical coding guidelines and regulations including compliance and reimbursement

·         Proficient across a wide range of services, including medical, behavioral health, chemical dependency, OBGYN, and more

·         Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services

·         Bilingual is a plus

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request via the Accommodation request form.


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