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Professional Coding & Doc Auditor - Prof Coding Svcs_QHS

Professional Coding & Doc Auditor - Prof Coding Svcs_QHS

Diagnostic Laboratory Services, IncQueen's Health Systems
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JOB SUMMARY

RESPONSIBILITIES :

  • Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines and federal and state regulations.

II. TYPICAL PHYSICAL DEMANDS :

  • Essential : sitting, stooping / bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm / hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.
  • Occasional : standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing / pulling usual weight of 2 pounds up to 5 pounds of force, reaching above, at and below shoulder level.
  • Operates computer, calculator, and telephone.
  • III. TYPICAL WORKING CONDITIONS :

  • Not substantially subjected to adverse environmental conditions.
  • IV. MINIMUM QUALIFICATIONS :

    A. EDUCATION / CERTIFICATION AND LICENSURE :

  • Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required.
  • Certification as Medical Auditor (CPMA) preferred.
  • B. EXPERIENCE :

  • Minimum two (2) years experience in physician coding, preferably in a comparable organization.
  • Experience to demonstrate the following :
  • o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding.

    o Knowledge of medical terminology and abbreviates.

    o Proficient in Evaluation and Management coding.

    o In depth knowledge of PATH, incident to and split shared.

    o Proficient in Microsoft Office applications (i.e. Excel, PowerPoint, Word).

  • Experience in auditing and physician education of CPT preferred.
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    Coding Auditor • Queen's Health Systems