*POSITION SUMMARY* To be fully engaged in providing excellence by performing outpatient reviews and audits for coding and abstracting compliance and accuracy. Collaboratively working as a key member of a multidisciplinary team. *PRIMARY ACCOUNTABILITES * 1. Performs daily focus outpatient/CPT prebill monitoring of accounts assigned. 2. Performs outpatient coder quality audits, reporting results to Coding Leadership monthly and always promoting a collaborative effort to solve quality opportunities. 3. Responsible for keeping abreast of new regulatory requirements, revisions, updates, related to APC/CPT/HCPCS changes in the coding arena by education, research, and networking. 4. Facilitates probe and spot outpatient audits as requested by Coding Leadership or outside departments. 5. Maintain a record of all outpatient audits performed to include, sample pull, audit results, rebuttal process, corrections/rebills as necessary, educational action plan, and follow-up audit as necessary. 6. Demonstrate ability and competency to navigate the legal health record accurately and efficiently for data quality collection and code assignment. 7. Facilitates completion of the annual departmental outpatient audit plan components. 8. Performs and oversees reconciliation and follow-up of RAC and private insurance reviews of potential APC/CPT/HCPCS revision recommendations. 9. Oversees cross-training of outpatient associates to assure flexibility and coverage for all departmental functions. 10. Review and validate assignment of ICD-10 diagnosis and procedure and CPT/HCPCS procedure codes based upon physician documentation in the medical record in accordance with coding and compliance guidelines. 11. Facilitates outpatient code change recommendations received from outside entities communicating appropriately and timely as per the appeal instructions indicated. 12. Provides timely notification to medical records/registration personnel of any identified discrepancies of patient information in the medical record. 13. Attends monthly department meetings and bi-monthly coding roundtables. 14. Maintain and observes patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines that protects the confidentiality of the health record and refuses to access protected health information not required for coding/auditing related activities. *MINIMUM QUALIFICATIONS* * Education: High School diploma or equivalent. * Work Experience: 3 years outpatient coding experience. * Licensure: N/A * Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) * Work Experience in lieu of Certification: N/A * Skills/Knowledge/Abilities: o Proficient in Microsoft Office – Outlook, Word, Excel, PowerPoint. o Ability to work autonomously with minimal supervision. o Excellent precise written and oral communication skills for professional interaction and presence. o Excellent problem solving, analytical, and critical thinking skills. o Demonstrate the highest standard of customer service skills. o Ability to work well under time pressure meeting deadlines. o Must be detail oriented. o Ability to muti-task. o Must be flexible, accountable, and dependable. *PREFERRED QUALIFICATIONS* * Work Experience: 5 years outpatient coding experience. *PHYSICAL REQUIREMENTS* * Majority of time involves sitting or standing; occasional walking, bending, and stooping. * Long periods of computer time or at workstation. * Light work that may include lifting or moving objects up to 20 pounds with or without assistance. * May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise. * Communicating with others to exchange information. * Visual acuity and hand-eye coordination to perform tasks. * Workspace may vary from open to confined, onsite, or remote. * May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. **Job:** **Medical Coding* **Organization:** **Health First Shared Svcs Inc* **Title:** *Outpatient Coding Auditor - Coding and Documentation* **Location:** *Florida - Brevard County-Rockledge* **Requisition ID:** *075885*