Medical Coding Auditor – Centers For Advanced Orthopaedics Llc – Bethesda, MD

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nations largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

The Medical Coding Auditor must be a Certified Professional Coder (CPC). The Medical Coding Auditor is responsible for auditing medical records to ensure compliance with the organization’s coding procedures and standards.

Primary Responsibilities

The Medical Coder Auditor may be asked to perform job-related tasks other than those specifically stated in this job description. Primary Responsibilities are to be carried out in a manner that is consistent with the Mission, Core Values and Operating Principles of CAO.

• Audit medical records to ensure compliance with the organizations coding procedures and standards.
• Audit CMS and/or Commercial Insurance billing for diagnosis data collected from physician and hospital medical records
• Review insurance payments and denials and recommends billing corrections
• Review and research medical records to determine the accuracy of coding, billing, and supporting clinical documentation
• Other duties as assigned

Requirements, Education, and Experience

• High School Diploma
• Certified Professional Coder (CPC)
• 3-5 years of Surgery coding experience
• 2-3 years of Quality Assurance auditing experience

Competencies / Required Skills and Abilities

• Strong Interpersonal Skills – Ability to develop relationships and collaborate and influence in a decentralized organization.
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
• Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience.
• Able to work independently.
• Exudes professionalism in presentation.
• Must be able to read, write, speak, understand, and communicate in the English language.

Benefits Include:

• Health, Dental, & Vision Insurance, Life & Disability Benefits, Voluntary Benefits, FSA, 401k & PTO!