Contract Coding Auditor in Titusville, FL

Titusville, Florida
Health & Social Care, Practitioner & Technician
Job Type
US$ 19.00 - US$ 28.00 per hour, $19 - 28 per hour + none
Ref. Number
Struble,Jacquelyn, Spherion
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Job Description

Spherion Staffing is seeking a Contract Coding Auditor for a Medical Facility in Titusville Fl. The contract will be for 3 months with possible extensions. The Coding Auditor will conduct audits of medical records for compliance with federal coding regulations and guidelines. Uses knowledge and client systems and procedures to provide a second level review of codes assigned to medical diagnosis and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Reviews, develops, and/or modifies client procedures, systems and protocols to achieve and maintain compatibility with billing requirements and compliance standards.


Certified medical coder by AAPC or AHIMA
At least 3 years of experience directly related to the duties and responsibilities specified.
Graduate of a medical billing and coding certificate program. Associate's degree preferred.

Working hours: day shift


-Audits medical record documentation to identify under-coded and up-coded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues.
-Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
-Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
-Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
-Trains, instructs, and/or provides technical support to medical providers and Medical Coding Analysts as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements.
-Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and data management systems to coordinate these with established methodology, to ensure that client billing operations meet the joint requirements of the local facility.
-Interacts with providers and management to review and/or implement codes and to update charge documents.
-Ensures strict confidentiality of financial and medical records.
-Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
-Performs miscellaneous job-related duties as assigned.

Office equipment: computer, calculator, fax machine, copier, scanner, etc.

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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