Also referred to as: Medical Record Coding Auditor, Medical Record Coding Quality Specialist, Medical Record Documentation and Coding Review Specialist
Requirements and Responsibilities

Audits medical records to verify coding of ICD or CPT codes following industry-standard coding guidelines. Documents audit findings with details on appropriate coding guideline references and error rates. Maintains up-to-date knowledge of coding and documentation requirements and offers guidance and interpretation. Reviews insurance payment and billing denial data to identify and recommend coding practice changes. May present coding training or updates to staff members. Requires a medical coding certification. May require a bachelor's degree in healthcare administration or a related field. May...View More

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