- Strong knowledge of CPT, ICD-10-CM and HCPCS coding.
- Experience in Physician Billing (PB) and/or Hospital Outpatient (OP) coding.
- Thorough understanding of CPT modifiers, NCCI edits and official coding guidelines.
- Ability to independently review operative reports and complex medical documentation.
- Strong understanding of medical terminology, anatomy and clinical documentation.
- Ability to identify coding discrepancies, missed services, unsupported codes and documentation gaps.
- Commitment to maintaining high coding accuracy, productivity and compliance.
Additional Responsibilities for Coding Auditors
- Conduct coding quality audits and identify error trends.
- Provide constructive feedback, coder education and recommendations for improvement.
- Perform root cause analysis and support corrective action plans.
- Monitor coding accuracy and ensure adherence to client-specific requirements and coding guidelines.