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Entry Level Medical Coding Auditor Jobs in New York

Montefiore

Senior Coding Auditor (JR229354)

Tarrytown, NY

$85K - $105K/yr

Overview Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts ...

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Entry Level Medical Coding Auditor information

What are the key skills and qualifications needed to thrive as an entry level medical coding auditor?

To succeed as an Entry Level Medical Coding Auditor, you need a solid understanding of medical terminology, coding systems like ICD-10 and CPT, and a background in health information management or a related field. Familiarity with electronic health records (EHR) software and coding/auditing tools, as well as entry-level certifications such as CPC or CCA, are often required. Attention to detail, strong analytical ability, and effective communication skills help you review documentation and collaborate with healthcare professionals. These skills are essential to ensure coding accuracy, regulatory compliance, and high-quality reporting in healthcare organizations.

What is an entry level medical coding auditor?

An Entry Level Medical Coding Auditor reviews medical records to ensure accurate coding for billing and compliance. They check for coding errors, verify documentation supports the codes assigned, and ensure adherence to regulations like HIPAA and ICD-10 guidelines. This role helps healthcare organizations avoid billing discrepancies and maintain compliance with insurance and government standards. Typically, auditors work under supervision as they gain experience and may hold certifications such as CPC or CCA. Strong attention to detail and knowledge of medical terminology are essential for success in this position.

What does an entry level medical coding auditor do?

A typical day for an Entry Level Medical Coding Auditor involves reviewing patient records, verifying that medical codes are correctly assigned, and highlighting discrepancies or errors for correction. You may work independently on audits or as part of a team, collaborating with medical coders and sometimes interacting with healthcare providers to clarify documentation. Frequent use of coding software and electronic health records is standard, and ongoing learning is expected to stay current with coding guidelines. While the role is detail-oriented, it offers new professionals the chance to deepen their knowledge and build a foundation for career advancement in medical auditing or compliance.

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Entry Level Medical Coding Auditor jobs near you

Senior Coding Auditor (JR229354)

Montefiore

Tarrytown, NY

$85K - $105K/yr

Full-time

Re-posted 29 days ago

Job description

IntroductionTo heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here. 

OverviewJob Summary
The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures. 

Responsibilities

  • The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill.
  • Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services.  
  • The Senior Coding Auditor provides guidance and support to the Coding Auditors as requested or required.  
  • The Senior Coding Auditor also assists with quality assurance reviews, data analysis, workload monitoring and distribution, and training.
  •  75% of time allocated towards Chart/Coding Review, 25% for other duties.

Requirements

  • Bachelor’s degree (or equivalent) in Nursing, health-related field, Accounting, Finance, Management or related field and a minimum of 2 years of related experience, or an equivalent combination of education and work experience Required.
  • Work experience with PCs, word processing, spreadsheets, graphs, and database software applications.
  • Proficient in payment review systems, hospital information systems, clinical record information systems, insurance terms and payment and some coding methodologies. Knowledge of revenue codes CPT/HCPCS, billing and coding edits (i.e., CCI, OCE, MUE, LCD/NCD) and billing and reimbursement practices.
  • Strong quantitative, analytical, and communication skills required. 
  • Understand medical record, hospital bills, insurance terms, payment methodologies and the charge master.
  • Knowledge of regulatory agencies requirements (JCAHO, CMS & Medicaid) and remain current on new regulations, policies and procedures.
  • Knowledge of coding guidelines, both ICD-10-CM and CPT-4 and understands CMS (formerly HCFA) Memos and Transmittals and all ancillary department functions for the facility. 
  • Knowledge of hospital clinical and financial IT applications is required.
  • Understanding of the charge capture and the charge creation process is required.
  • Understanding of the bill compilation and presentation process is required.
  • Understanding of UB-04, itemized statement and medical records in addition to the familiarity with all ancillary department functions for the facility. 
  • Previous clinical experience in an acute care facility is preferred.
  • Certifications/Registrations preferred: American Health Information Association (AHIMA); Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Procedural Coder, Hospital (CPC-H).

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