I have extensive experience with medical coding standards, having worked with ICD-10-CM, CPT, and HCPCS for over five years. I have successfully completed numerous audits, ensuring compliance with these standards and accurate reimbursement. My background includes continuous education in the latest coding guidelines and regulations to maintain high accuracy and efficiency in my audits.

To ensure accuracy and compliance, I meticulously review each code against the medical record documentation, cross-referencing with coding guidelines and regulations. I also stay updated with any changes in coding standards and healthcare policies. Regular training and certification in coding practices further enhance my ability to identify discrepancies and ensure adherence to best practices.

I employ a collaborative approach when communicating audit findings, focusing on education and improvement rather than blame. I prepare detailed reports with clear explanations of discrepancies, supported by evidence from medical records. Additionally, I offer suggestions for corrective actions and provide training sessions to help healthcare providers understand and apply correct coding practices.

In cases of conflict, I maintain a professional and objective stance, encouraging open dialogue to understand the perspectives of healthcare providers. I provide comprehensive documentation to support my findings and engage in constructive discussions to reach a mutual understanding. My goal is always to resolve conflicts through clear communication and mutual respect.

One challenging audit involved a complex case with multiple diagnoses and procedures. The initial coding was highly inconsistent. I conducted a thorough review, consulting with specialists to ensure accurate coding. Through detailed documentation and a collaborative approach, I was able to resolve the discrepancies, leading to a successful audit outcome and improved coding practices for the healthcare provider.