Q: What is a Medical Coding Auditor – “Can auditors work from home? Do they have to travel a lot? Is HCC considered auditing?

Alicia: A: Actually HCC has a lot of auditing, its aspect, because you are not just looking at one encounter and then going to another patient, and another encounter and going to another patient, it’s a year’s worth of documentation for one patient at a time. So, it’s multiple encounters. It’s like looking at an inpatient’s entire chart, but it’s not just the hospital charts, the outpatient, all the consultations – everything. So, yes, there’s a lot of auditing aspects to that.

I guess, for auditing do you want to travel a lot? Because some auditors do travel and some do it from home. Our Tammy, she works from home. It really, it’s like what Tammy said, it’s really diverse, auditors, and they do get paid really well.

What is a Medical Coding Auditor | HCC Coding

Laureen: When I first started, I did E/M audits and I would do it for groups, hospitals, and I would do it in my local area, so you can make it work how you want it to work; so if I didn’t like doing onsite audits, I didn’t mind doing onsite presentations of the results but I wanted to do the audit at home at my own pace and so I would quote him a really high amount if I had to do an onsite audit. But if they got me the charts redacted and send them to me or I pick them up and I could do them at my office, then I would charge far less.

So, normally they would do that. I would do all the audit work at home, prepare my report, then I would go and I’d do the presentations. The traveling was driving maybe within a 3-hour radius or whatever I chose; so if you want to, you could expand the radius even more. Some people work for auditing companies where they fly them all over the place, onsite and do audits, so there’s a lot of different things you can do with it.

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What is a Medical Coding Auditor | HCC Coding



About the Author:

Alicia has been working in the medical field for over 20 years. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Through the years she has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor and Analyst. Outside of the medical field she has worked as a Real Estate agent, and owned her own on-line retail business. The medical field has always been where she felt the most comfortable. Alicia has taught medical coding, billing and medical law and ethics at a private college. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats.

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