Auditor

• Assess the accuracy and completeness of inpatient and outpatient medical record documentation through the conduct of random and focused coding audits.
• Document findings, prepare and present audit results and perform investigations to provide comprehensive feedback.
• Serve as a subject matter expert in coding, offering guidance and support to ensure compliance with established coding standards, regulatory requirements and organizational best practices.
• Provide feedback on the application of coding guidelines, practices, proper documentation techniques, data quality improvements and revenue enhancement opportunities.
• Perform retrospective and concurrent audits in accordance with coding guidelines to ensure coding accuracy and proper reporting.
• Prepare and present reports for pre-bill and retrospective coding audits directly to Providers and coding staff.
• Analyze coded data to identify areas of risk and provide recommendations for documentation improvement.
• Assist in the development of programs and procedures to improve coding accuracy rates.
• Interact with Providers and coding staff to resolve documentation or coding issues.

Coding Quality Auditor

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