A medical coding auditor usually works in the administrative department of a medical institution, or for an agency that has been hired by a medical institution to perform coding audits. The job is usually carried out within an office environment, though many positions allow the auditor to work from home.
The auditor will review and audit medical coding data. Corrections to this data will also be made by the medical coding auditor. When medical coding assignments seem wrong and mistakes seem to be repeated, the auditor may have to report this to management, or he or she may have to make inquiries to the department that had created the documentation. Feedback is also given on performance results. The auditor may also be required to provide training and education.
Communication skills are important, in order to work well with other coders, management, and medical providers. It is important to have strong knowledge of CPT and ICD-9 codes and to look over the codes periodically to ensure accuracy. The auditor may make suggestions to management as to what can be improved. Attention to detail is extremely important in this job, in order to ensure accuracy. Strong computer skills are important, and it is essential to be proficient with Microsoft Office. Usually a high school diploma is required, along with certification as a medical coder or medical coding auditor.
Medical Coding Auditor Tasks
Review the work of coding clerks to verify accuracy of coding and that patients are billed correctly.
Conduct analyses to evaluate the accuracy and efficiency of coding practices.
Contribute to the development of codes for patient billing.