Provide coding support, education and training related to, quality of documentation, level of ... Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will ...
21 Cano Health Coding Auditor Jobs Hiring Near You
Provide coding support, education and training related to, quality of documentation, level of ... Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will ...
Cano Health Jobs Information
What are the key skills and qualifications needed to thrive as a Coding Auditor, and why are they important?
To thrive as a Coding Auditor, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare compliance, and auditing principles, usually supported by a relevant degree and certifications like CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding software, and auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for identifying discrepancies and collaborating with healthcare teams. These skills ensure accurate billing, regulatory compliance, and financial integrity in healthcare organizations.
What are some common challenges faced by Coding Auditors in ensuring accurate medical coding compliance?
Coding Auditors often encounter challenges such as staying updated with frequently changing coding guidelines, identifying inconsistencies in documentation, and ensuring that codes reflect the full scope of patient care provided. They also need to balance productivity expectations with the thoroughness required for effective audits. Collaboration with coding teams and healthcare providers is essential to clarify ambiguities and promote ongoing education, which helps maintain compliance and reduce the risk of costly errors.
What is a Coding Auditor?
A Coding Auditor is a healthcare professional responsible for reviewing medical records and coding data to ensure accuracy, compliance with regulations, and proper billing practices. They verify that diagnostic and procedural codes used for billing are correct and align with medical documentation. Coding Auditors help healthcare organizations minimize errors, prevent fraud, and maximize reimbursement by conducting regular audits and recommending process improvements. Their work is crucial for maintaining the integrity of medical coding and supporting financial health in the medical industry.
What is the difference between Coding Auditor vs Medical Coder?
| Aspect | Coding Auditor | Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC certifications, such as CCS or CPC-A | AHIMA or AAPC certifications, such as CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or consulting firms | Hospitals, clinics, physician offices, or outpatient facilities |
| Primary Responsibilities | Review and ensure coding accuracy, compliance, and documentation quality | Assign medical codes based on patient records for billing and documentation |
| Industry Usage | Used in healthcare compliance and auditing departments | Used in medical billing and coding departments |
While both Coding Auditors and Medical Coders work with medical codes and require similar certifications, Coding Auditors focus on reviewing and verifying coding accuracy and compliance, whereas Medical Coders are responsible for assigning the correct codes to patient records. Their roles often overlap but serve different functions within healthcare organizations.
Do people at Cano Health feel treated with respect by their managers?
Most people feel treated with respect by their managers.
80% of people say they’re treated with respect by their managers.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
80% of people say they’re treated with respect by their managers.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
Do people at Cano Health enjoy their jobs?
Only some people enjoy their job.
40% of people report they don’t enjoy their job.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
40% of people report they don’t enjoy their job.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
Do people at Cano Health recommend working with their team?
Only some people recommend working with their team.
60% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
60% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
Do people get enough training when they start at Cano Health?
Most people got enough training when they started.
80% of people report they got enough training when they started working here.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
80% of people report they got enough training when they started working here.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.
What other companies are hiring for Coding Auditor jobs?
What are the most popular jobs at Cano Health?
Cano Health rating
7.6
Based on 10 frontline employees who took The Breakroom Quiz
Job description
It's rewarding to be on a team of people that truly believe in making an impact!
We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.
Job Summary
The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.
Duties & Responsibilities
Essential Duties & Responsibilities
- Review medical record information to identify all appropriate coding based on CMS HCC categories
- Prepare the medical charts and track patient information via Excel spreadsheets.
- Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
- Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
- Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS
- Monitor coding changes to ensure that most current information is available
- Work HCC suspect reports
- Accurately code and submit encounters on a timely basis
- Researching and addressing code questions for multiple provider offices as directed
- Update the Director on the status on a weekly basis
- Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
- Travel to offices as necessary to complete on-site chart reviews
- Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.
- Support and participate in process and quality improvement initiatives.
- Assists with billing claims as assigned.
Additional Duties & Responsibilities
- Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required.
Education & Experience
- Two (2) years prior medical coding experience
- Proficient in Microsoft Word and Excel
- Strong organization and process management skills
- Strong collaboration and relationship building skills
- High attention to detail
- Excellent written and verbal communication skills
- Ability to learn new tasks and concepts
- CPC or CRC Coding Certification
Knowledge, Skills & Proficiencies
- Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions.
- Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan.
- Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.
- Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places emphasis on the success of the medical centers and insurance companies.
Job Requirements
Physical Requirements
This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Tools & Equipment Used
Computer and peripherals, standard and customized software applications and tools, and usual office equipment.
Disclaimer
The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
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About Cano Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Miami, FL, US
Year founded
2002