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Medical Coding Quality Auditor

North Florida Surgeons, P.A.

North Florida Medical Services, located in Mandarin/Jacksonville, FL, is a growing management services organization that provides revenue cycle services to multiple surgical group practices. The company is seeking a Coding Auditor to conduct quality reviews of both clinical and non-clinical professionals.

The role focuses on process effectiveness, continuous improvement, quality, and ongoing education for providers and staff on coding matters.

Key responsibilities include:

  • Working with the Coding and Compliance Manager to schedule and conduct focused retrospective quality reviews of physicians, mid-level providers, and internal/external coders
  • Ensuring coding accuracy is monitored and education is provided based on review results
  • Preparing reports for management review and identifying trends
  • Completing reviews in a timely and routine manner and presenting results and feedback to the appropriate personnel
  • Assisting with the development of educational materials for annual diagnosis and procedural coding updates, documentation and coding tips, and coding guidelines
Requirements & Qualifications

Qualifications

  • Strong knowledge of Evaluation and Management and surgical coding, as well as coding guidelines
  • Experience with professional inpatient and outpatient medical coding and billing
  • Minimum of 2 years of professional inpatient and outpatient medical auditing
  • Senior Coding Quality Auditor requires a minimum of 3 years of professional inpatient and outpatient medical auditing
  • CPC or CCS-P required
  • Must obtain the CPMA credential within the first 12 months of employment; Senior Coding Quality Auditor must already hold the CPMA credential
  • Associate's or Bachelor's degree in a healthcare field preferred but not required
  • High school diploma required

Location

Jacksonville, Florida, US

Employment Type

Not specified

Experience Level

Intermediate Level

Remote work allowed

No

Posted

3 weeks ago

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