Coding Auditor

Location: Columbus Regional Hospital

Dept: 8205 CRHP Coding

Category: Administrative

Full Time, Days, 40 hours

Posted 11/3/2022

Requisition # 10091

What you need to know about the Coding Auditor position:

  • The CRHP coding department utilizes standard coding guidelines and coding clinics to accurately and efficiently assign the appropriate ICD and CPT codes for all encounters to ensure accurate reimbursement. The CRHP coding department provides professional coding services for the more than 175 employed providers.
  • The position will ensure the accuracy and completeness of clinical coding. Provide the coding staff with the necessary support for coding guidelines through continuous quality improvement. Proactively identify areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations, denial meetings, and other platforms and plan coder education accordingly. Demonstrate attention to detail to minimize coding errors, legitimately optimizing reimbursement and ensuring accurate billing.
  • This position is responsible for the continuing educational needs for coding staff. This position is also responsible for all ongoing quality reviews of the coding staff. Responsible for acting as a liaison for denial communication between coding and billing teams. Assist with communicating documentation issues to physicians and clinical departments. Accurately applies ICD-9-CM, ICD 10 CM and CPT-4 classification systems, utilizing Optum. Assist Manager with monitoring, coordinating and responding to external audits and questions. Participates on the denials team. This position does not provide direct patient care.
  • The Coding Auditor position has a base rate of $24.19 per hour, and is commensurate with experience
  • This position will require you to work Monday through Friday, 40 hours per week. 100% remote work eligible.

What is required for this position:

Education and/or Experience

  • A minimum of 5 years of coding and audit experience required.
  • A score of 90% or higher on the Coding Assessment Tool is required.
  • 7 years of coding and/or audit experience with additional experience performing training and providing feedback to coding and physician audiences preferred.
  • Previous experience in management, quality improvement, compliance, auditing and revenue cycle related activities preferred.
  • Bachelor’s degree in Health Information Management or other healthcare related degree preferred.

Certifications, Licenses, Registrations

  • One of the following is required:
    • Certified Coding Specialist (CCS)
    • Certified Coding Specialist – Physician Based (CCS-P)
    • Certified Outpatient Coder (COC )
    • Certified Professional Coder (CPC )
    • Certified Inpatient Coder (CIC)
    • Registered Health Information Administrator (RHIA)
    • Registered Health Information Technician (RHIT)
    • Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner (CDIP) certification preferred

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