At the direction of the Manager, assume responsibility for coding audit activities for provider groups assigned to the team.

1. Coordinates and conducts audits for documentation of coding in assigned clinical sections.
2. Coordinates coding feedback of documentation review results in on-going written communication for providers.
3. Monitors provider documentation and coding in all professional and hospital outpatient settings.
4. Responds to questions regarding coding and documentation practices. Conducts process evaluation and researches topics and develops education plan.
5. Researches issues related to coding and documentation practices. Develops communication and distribution strategies.
6. Evaluates and recommends possible changes to coding or documentation practices.
7. Assimilates information; identifies key issues, and presents pertinent information to the team.
8. Identifies coding trends through data analysis and assists in the evaluation of coding data with team.
9. Coordinates response to compliance concerns through management.
10. Participates in the development of new coding policy.
11. Maintains membership in professional organizations, attends conferences and workshops and relationships with payors. Ensures that current information is secured, maintained and distributed to providers.
12. Applies mandated coding guidelines to documentation, including E/M code assignment, auditing and education.
13. Performs other duties as required or assigned.

• High school graduate with 4 years of coding experience required.
• Previous experience in abstracting for coding in professional and hospital outpatient areas like E&M, ED and OR preferred.
• Strong organizational and analytical skills with the ability to effectively communicate, both orally and in writing with all levels of staff.

• Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Coder Specialist-Physician Based (CCS-P) certification required.