EM Auditor

Key Responsibilities

• Perform comprehensive audits of E&M Outpatient coding to ensure accuracy, completeness, and compliance with CMS and ICD-10-CM guidelines.
• Review clinical documentation to validate the coding information as per CMS standards, provide in detailed feedback to customer/Coder.
• Should be flexible and quickly adaptable to working in multiple projects
• Good understanding on coding below concepts.

Incident to Billing/ Visit complexity

Minor procedures and applicable modifiers

Good interpretation on assigning the E&M levels

Assigning accurate medical necessity diagnosis

AWV and Preventive visits, WWE, Telehealth coding guidelines

Able to interpret the client SOP and apply general CMS guidelines.

Required Qualifications

• Minimum 3-5 years of experience in medical coding with strong experience in E&M coding with minor procedures.
• For OBGYN - Knowledge of OBGYN office procedures, global billing rules, Well women exam, PAP smear 
• Must be certified by AAPC/AHIMA and should hold active credentials
• Should have experience in auditing, if not a QA can be an acting or designated QA

For more details kindly reach out:

HR Keerthi

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