Immediate Hiring For Multi-Speciality E/M Auditor

Job Description

Job Opening as a Multi-Specialty E/M Auditor

Experience

2 to 4 years of experience in Multi-Specialty Evaluation & Management (E/M) Auditing.
Experience auditing physician documentation and coding for Outpatient, Inpatient, SNF/NF, ALF, Home Visits, Telehealth, and other E/M services.

Educational Qualification

Bachelors degree in Pharmacy, Life Sciences, Nursing, Biotechnology, or Allied Health Sciences.
CPC, CPMA, CCS, CRC, or equivalent certification is preferred.

Key Responsibilities

Audit physician documentation and E/M coding for accuracy, compliance, and medical necessity.
Validate E/M level selection based on Medical Decision Making (MDM) and Time-Based Coding guidelines.
Identify documentation deficiencies, coding errors, and compliance risks, and provide constructive feedback to providers and coding teams.
Recognize recurring documentation and coding trends, perform root cause analysis, and recommend corrective actions.
Develop and deliver targeted education sessions for coders, auditors, and providers to improve coding quality and documentation practices.
Review audit findings, classify error categories, and support continuous quality improvement initiatives.
Identify potential denial risks and recommend preventive measures to improve first-pass claim acceptance.
Ensure compliance with CMS, AMA, Medicare, Medicaid, Commercial Payer, LCD/NCD, and NCCI guidelines.

Required Knowledge & Skills
Candidates should have strong knowledge of:

Current AMA and CMS E/M Guidelines across all applicable E/M services.
Extensive knowledge of Medical Decision Making (MDM) and Time-Based Coding.
ICD-10-CM, CPT, and HCPCS coding.
CMS, AMA, Medicare, Medicaid, and Commercial Payer guidelines.
LCD/NCD policies, NCCI edits, and Medical Necessity requirements.
Common claim denial reasons, denial prevention strategies, and documentation improvement techniques.
Root cause analysis of coding and documentation errors with the ability to implement effective corrective and preventive actions (CAPA).
Provider documentation improvement and coder education methodologies.

Preferred Skills

Strong analytical and critical thinking skills.
Excellent written and verbal communication.
Ability to educate providers and coding teams effectively.
High attention to detail with a focus on quality and compliance.
Ability to work independently while meeting productivity and quality expectations.

Interested Candidates can share their profiles / CV of the below email id
hr@medmecsbillingservices.com