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Coding Auditor Job in Tulsa, Oklahoma

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Job Title: Coding Auditor

Employer:Saint Francis Health System
Skills:Auditing,coding,billing,insurance,medical records
Required Certifications:CPC
Required Experience:3 to 4 years
Location: Tulsa 74136, OK, US
Date Posted:8/3/2021

Essential Functions and Responsibilities

·         Conducts coding audits of documentation of physicians and non-physician practitioners to assure compliance with documentation guidelines and the appropriate selection of CPT procedure codes and ICD-9 diagnosis codes.

·         Communicates results of audit findings with manager, physicians, and medical director.

·         Develops and delivers coding education specific to the needs of the requesting physicians and office staffs Assists in resolving patient complaints due to coding issues and in assurance of payment for services of denied services due to coding issues.

·         Assists in review and analysis of documentation requests for audits performed by outside agencies, e.g. regulatory bodies and insurance companies.

Job Summary: Performs coding audits to assure compliance with Corporate Compliance Plan standards. Develops, coordinates and implements clinic wide education for coding and billing issues. Serves as a resource to physicians, office staff, management and patients for coding and billing issues. Coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits.

Education: High School Diploma or GED. Education commensurate with coding certification.

Licensure, Registration and/or Certification: CPC (Certified Professional Coder) or recognized Coding Certification.

Work Experience: 3 - 4 years related experience.

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