Job Details

Coding Auditor

The primary purpose of this position is to impart continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. This individual will serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient or inpatient records. Performs concurrent audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding. Prepare reports and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. Works with HIM coding management in preparing education and training for coders, clinical department and/or physicians for documentation improvement on a monthly, quarterly and on an as needed basis. Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement. Estimated pay range for this position is $30.74 - $39.96 / hour depending on experience.

Qualifications:

Degrees:

• High School,Cert,GED,Trn,Exper.

Licenses & Certifications:

• AHIMA Certified Coding Specialist.
• AHIMA Registered Health Information Technician.

Additional Qualifications:

• Prefer Bachelor's Degree in Health Information Management or equivalent.
• CCS or RHIT required.
• Prefer AHIMA approved ICD10CM/PCS trainer.
• Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines, encoder and National and Local Coverage Determinations.
• Proficient in MS Word, Excel and PowerPoint.

Minimum Required Experience: 3 years of coding auditor experience

EOE, including disability/vets