Auditing and Monitoring Specialist

Job description

Position Summary: The Auditing & Monitoring Specialist is responsible for reviewing medical records in their entirety to ensure accurate and compliant EM, CPT and ICD-10-CM coding, per federal regulations and guidelines set by CMS/HIPAA and communicating errors promptly to the physician, or other qualified health care provider. The Auditing & Monitoring Specialist assists in providing educational training and understanding to physicians, mid-levels, clinical personnel, and other departments, as necessary. ESSENTIAL DUTIES AND RESPONSIBILITIES: The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive, other duties may be assigned: -Assist with new on-boarding of providers coding and documentation training -Educate new providers proper coding and documentation requirements and perform pre-bill & post bill audits, documentation review, spot auditing, and coding accuracy checks -Perform provider documentation audits and reviews of medical records to ensure compliance with coding and documentation standards and comply with Medicare/Medicaid guidelines -Provide education/training to providers, clinical team mem...