PB QA Coder Auditor

Qualifications

• 5 years experience in outpatient coding with exposure to multiple specialties
• 1 year experience in each specialty with a minimum of 2 specialties: Same Day Surgery, Observation, Interventional Radiology, Oncology, Transplant, OB GYNE, Emergency
• 1 year experience as Quality Auditor

Responsibilities

• Conduct audits in various medical coding specialties in inpatient settings to assess coding accuracy and ensure adherence to official coding guidelines.
• Provide detailed rationale and supporting references for recommendations and findings.
• Utilize industry-recognized references to support review findings, such as the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Guidelines