Forum - Questions & Answers
coding auditor
I am interested in coding auditor. Is there anyone with any idea where to go or what to do to accomplish this?
Thanks so much in advance for any response.
Darlene Britton, CPC
Prattville, AL
Coding Auditor
I am interested as well- did you get a response?
Coding Auditor
What do you mean? You would like to audit medical records? E/M?
Auditor
E&m
coding auditor
Check out the National Alliance of Medical Auditing Specialists. I believe it's a 2-day course with testing on the 2nd day. The program is approved for 12 CEU's thru the AAPC.
coding auditor
I would look at the AAPC website, and DecisionHealth's website. Barb Pierce still does auditing education for them, and I think is doing it in Vegas in January. www.partbnews.com and look for conferences. She's the best!
coding auditor
Hello- what is a coding auditor?
What is a coding auditor
[Hello- what is a coding auditor?]
A coding auditor is someone who reviews claims for proper coding guidelines. This person is required to understand regulations for the type of insurance they are working with as well as guidelines for CPT codes. Often this is done by use of an electronic system that flags the claims as a possible coding error, then the coding auditor reviews the claim along with extensive research in the patient history to see if the edit applies. They are the person that makes the decision to allow or deny certain charges based on this information.
Coding Auditor
I have been working as a coding auditor for Molina Healthcare. I would suggest that you contact any local insurance companies in your area, (or an area you would like to be in). They will often have their own requirements, mostly pertaining to experiance. I was required to have 1 year of claims experiance, but some companies will need you to be CPT Certified as well. Good luck, it's a lot of fun. Let me know if you come accross anything at home- I WOULD BE INTERESTED in an at home position... part time. :)
A Coding auditor is a person who Audit Medical Records for Healthcare Compliance
Coding Auditor ensurance the healthcare compliance are being met and the correct ICD-9, CPT, HCPCS, and other guidelines are being met by the insurance provider or government agencies who regulated the hospital and providers to ensure billing is not being fraudulent and also the information on patient records are update to show that the quality of care is appropriately being administered. People don't realize Medical Coders, Claims Examiner, and others such as Doctors, Nurses, and anyone in this wonderful field still can be fine, jailed, prison for doing something incorrectly on a patient or even medical record that can jeopardize a patient's life. So that's why it's can be stressfull and wonderful to ensure patients care is being complied with and guidelines are strictly in place to ensure patient safety and also it can helps keep the hospitals protected from any non compliance issues by auditing records and things to keep operations in order.