Job Summary
The auditor’s primary function is to evaluate medical records that have been encoded using a standardized system, ensuring that patient conditions are accurately documented to facilitate risk adjustment and reimbursement processes.
Responsibilities
- Maintain a minimum 95% quality average in medical record evaluations.
- Address and respond to rebuttals effectively.
- Engage in weekly coding project review meetings for collaboration and progress tracking.
Qualifications
- A minimum of 2 years of experience in HCC coding and auditing is required.
- Possession of certified credentials from AHIMA or AAPC is essential.
- In-depth knowledge of ICD-10, medical terminology, and disease processes is necessary for success in this role.
