We have an exciting opportunity to join our team as a Coding Auditor Specialist. This role primarily provides revenue cycle support and serves as a liaison to Patient Financial Services, HIM, Clinical Documentation and various ancillary departments as deemed necessary.
To qualify, the ideal candidate has acquired a College Degree in Health Allied Sciences and annually attains the Certified Profession Coder Certification through the American Academy of Professional Coders. He/she should possess excellent communicative, organizational, interpersonal and prioritization skills.
The Hospital Coding Auditor Specialist assists management in planning, organizing, directing, coordinating and controlling the functions related to coding, reimbursement, documentation, quality initiatives, billing, Integrity of Revenue Cycle and day-to-day operations. In addition to demonstrating working knowledge of ICD-9/10 CM; PCS and CPT coding nomenclatures, this position is responsible for billing guidelines, clinical documentation, regulatory compliance requirements and Charge Master (CDM) challenges. The Hospital Coding Auditor Specialist will perform chart analysis, data entry abstractions, validating entries and reimbursement to ensure appropriate reimbursement based on the designated nomenclature ICD-9, 10 & CPT. In an environment of continuous quality improvement, the Hospital Coding Auditor Specialist will audit, aggregate and report providers’ clinical documentation trends. This position requires providing assistance to peers during their training period and utilizes all available resources to ensure compliance and identifies discrepancies affecting revenue integrity.
College Degree in Allied Health Sciences
Certified Profession Coder (CPC) through the American Academy of Professional Coders
Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)
Registered Health Information Technologist (RHIT)
Registered Health Information Administrator (RHIA)