CIRCC Auditor, Pro-Fee

CIRCC Auditor, Pro-Fee

Remote US

-12-23 Industry: Auditor - Multi Spec, Coder - CIRCC Job Number: 3203

CIRCC Auditor - Pro Fee

Location:

Remote, USA

Pay Rate: $30.00 - $36.00/hour

Coding

AID, a division of Managed Resources Inc., is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. We’re proud to have served healthcare organizations and medical groups for over 30 years with proven success in meeting their operational challenges.

Purpose:

The primary responsibility of the CIRCC Auditor is to audit CPT, HCPCS, ICD-10-CM, Modifiers, Units and identify documentation and coding discrepancies and improvements based on medical record documentation.

Essential Job Functions:

• Audit all E/M, CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documentation.
• Enter audit data into audit software or other audit report.
• Evaluate the overall quality of physician documentation for quality improvement measures.
• Perform accurate coding using applicable guidelines and client protocols.
• Communicate with client and/or providers as needed (i.e. coding clarification, missing documentation, etc.).
• Provide written feedback of audit results in the form of chart level comments, summary findings and recommendations.
• Communicate with Project Manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.).
• Track and enter time accurately and timely into our timekeeping system.
• Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.
• Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
• Other duties as assigned.

Education and Experience:

• CIRCC certification required from AAPC. CPMA preferred.
• A minimum of 5-7 years’ experience required auditing CPT, E&M, HCPCS and ICD-10-CM codes.
• Requires advanced technical knowledge in interventional radiology and interventional cardiology.
• Extensive knowledge of medical terminology.
• Experience in researching and applying coding rules and regulations.
• Experience working in an audit software tool.
• Proficiency in Microsoft Excel, Word, and various EMR (Electronic Medical Record) systems.
• Excellent oral and written communication skills.
• Excellent time management and organizational skills.
• Have a positive, respectful attitude.

Coding

AID, a division of Managed Resources Inc., is an Equal Opportunity Employer (EOE) M/F/D/V/SO.