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Physician Coding Auditor Job in Allentown, Pennsylvania

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Job Title: Physician Coding Auditor

Employer:St. Luke's University Health Network
Required Certifications:CPC,CCS,or CCS-P
Required Experience:1 to 2 years
Location:Allentown, PA
Date Posted:3/9/2020
  • Perform quality audits to include reviewing medical record documentation for completeness and accuracy to support billed claims.
  • Generate provider reports through billing software.
  • Coordinates, schedules, and meet with providers to perform education for the professional service documentation and coding audits of both office and in-patient medical records.
  • Maintain and record audits in Excel spreadsheet format and through an auditing software program.
  • Is a resource to the coding department, SLPG practices, providers, and billing department.
  • Assisting with the development of training materials for compliance education and training modules.  Provides training classes to new providers throughout the year along with providing education to the Residency programs.
  • Maintain current knowledge of coding and documentation educational updates for primary care and specialty services.
  • Assists in the formulation and review of Network policies and guidelines affecting the coding of professional services.
  • Assists in maintaining the FY audit plan and accurate accounting of time allocated to each audited provider.
  • Analyzing data in Excel or other software programs and making sound recommendations based on the results.
  • Investigating issues involving improper activities and reporting results.



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