Medical Coder and Auditor

Conduct prospective audits of coding and billing by analyzing physician and provider documentation in outpatient office health records to correct evaluation and management service levels, procedure codes, and modifiers. Navigate patient health records, office visit notes, and procedure reports to determine diagnoses, reasons for visits, and procedures, then code outpatient records utilizing ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicate results to providers while accessing charge work queues to validate and assign charges. Run delinquent data reports for unsigned charts to ensure accounts are coded and billed in accordance with practice standards, utilizing EMR reports to track missing documentation or queries requiring follow-up. Maintain current knowledge of changes in outpatient coding and reimbursement guidelines.