Documentation & Coding Auditor

Performs medical billing coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.

• Current and active professional medical billing coding certification required from an accredited organization.
• Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred.
• Five or more years of health care items/services.
• Managerial/supervisory and program management implementation experience strongly preferred.
• Ability to initiate administrative activities as necessary.
• Excellent oral and written communication skills.
• Ability to write and present ideas and information in a concise manner.
• Ability to work collaboratively with all individuals.
• Professional bearing, sound business judgment and persuasive skills.
• Strong problem-solving skills, self-starter, ability to function with little face-to-face, daily supervision.
• Ability to deal with stressful situations, works collaboratively to address complex and sensitive issues.
• Excellent time management skills and attention to detail are a must.
• Must successfully pass a criminal background check, as well as not be listed on the HHS OIG, Texas Medicaid, GSA or any other government exclusion lists.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals and the ability to compute rates, ratios, percentages, and to draw and interpret bar graphs is preferred.

High School graduate or equivalency and five (5) years of medical billing coding and reimbursement experience of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.