Physician Coder/Auditor Intern

POSITION PURPOSE

• Provide an opportunity to gain practical experience in the field of physician coding.

• Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions.

MINIMUM EDUCATION REQUIRED

• High School or Equivalent (GED)

MINIMUM EXPERIENCE REQUIRED

• Enrollment in or completion of an AAPC or AHIMA recognized coding training program.

LICENSES / CERTIFICATIONS REQUIRED

• N/A

KNOWLEDGE, SKILLS & ABILITIES REQUIRED

• Basic knowledge of CPT and ICD-10 codes

• Ability to communicate findings by way of written reports and via verbal communication with provider(s) and management staff

• Excellent written and verbal communication skills

• Ability to understand and interpret policies and regulations

• Ability to read and interpret clinical documentation

• Ability to write, hear, and speak the English language

PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES

• Under supervision and trainer’s discretion,  the intern will  be allowed to perform the following duties with increasing responsibility as education continues:

  • Conducting internal monitoring and auditing of provider documentation.

  • Communicating audit findings to the provider(s), and/or appropriate management staff by way of written or verbal reports.

  • Monitoring provider’s compliance with the auditing program and reporting noncompliance to the appropriate individual.

  • Reviewing all insurance guidelines to ensure coding/documentation compliance.

  • Acting as a resource for Physicians’ Billing and Clinic staff with issues related to documentation and/or compliance.

  • Interacting with physicians to clarify diagnoses or procedures.

  • Seeking out resources, including appropriate management staff, for questions or other issues.