Physician Auditor Surgical Auditor

Company: IPMC LIMITED 
Skills: Field Service Tech 
Experience:3 + Years 
Education: Bachelors/3-5 yr Degree 
Location: LAGOS, NIGERIA 


ORGANIZATION SUMMARY
IPMC is one of Nigeria oilfield service companies providing innovative solutions, technology, and services to the oil and gas industry. The Company operates in Nigeria and has a network of, manufacturing, service, research and development, and training facilities.
It delivers innovative technologies and services designed to meet the world's current and future energy needs in a safe, ethical, and sustainable manner. Grounded by our core values and inspired by our world-class people, we are committed to being a trusted business partner to those we serve.

JOB DESCRIPTION
Job Responsibilities:
Performing audits of Surgical coding and documentation compliance audits for providers, including physicians and mid-level providers;
Accurate application of appropriate coding and documentation guidelines, including Surgery Documentation Guidelines, CPT Coding Guidelines, Coding Clinics, Specialty Association guidance and others, as applicable;
Accurate selection of CPT codes for procedures and surgeries performed; Accurate application of modifiers to CPT codes; Accurate selection and evaluation of ICD-10 CM diagnosis coding;
Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;
Adherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor specific policies, if applicable;
Appropriateness of documentation for split/shared or incident to services;
Appropriateness of provider s documentation related to Teaching Physician Guidelines, PQRS, FQHC and RHC's as applicable;
Use scoring methodology to accurately score audits;
Provide detailed findings for each service reviewed on an excel spreadsheet or another customized report, including supporting documentation;
Communicate with Coding Team Lead on audit timeline task completion.
Qualifications:
Education/Cert:
A minimum of a high-school diploma, Associates Degree preferred. Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing, preferably a combination of two or more credentials.
Experience:
Minimum 3 years of physician coding experience and 3 years of surgical auditing experience required. Must have proficient knowledge of medical terminology, CPT and/or ICD-10 coding and Medicare and Medicaid billing policies for professional services.
Additional skills required:
Experience with Microsoft Word, Excel, PowerPoint, Windows and healthcare information and billing systems. Experience working independently, excellent time management skills and the ability to meet project deadlines a must.