Auditor Coding Specialist Remote

Trinity Health • Des Moines, IA

20h • Remote

About The Position

This is a Full-Time (80 hours biweekly) position that is 100% Remote. A Coding Certification is required, along with a minimum of two years of current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations. The role is responsible for coding and abstracting patients’ records for professional billing. This includes reviewing patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes. The specialist will interact with and assist billers with coding requests and questions, serving as a resource for difficult coding questions and assisting with insurance denials for correction and re-filing. Additionally, the role involves making process improvement recommendations to management, particularly related to registration and charge posting, and performing in compliance with federal, state, and insurance industry regulations. The specialist must follow established hospital policies concerning corporate compliance and stay updated on insurance carrier rules and changes through education opportunities.

Requirements

• High school diploma or GED required.
• A minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.
• Coding Certification required.
• Knowledge of anatomy and physiology and medical terminology required.
• Working knowledge of computer information systems required.
• Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance department image.
• Must be a self-starter and able to work independently and make appropriate decisions within hospital and departmental guidelines with little assistance from Manager.

Nice To Haves

• One to two years post high school education preferred.
• Knowledge of physician EM coding desired.
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.

Responsibilities

• Coding and abstracting patients’ records for professional billing.
• Reviewing patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes.
• Interacting and assisting with coding requests and questions from billers.
• Serving as a resource for difficult coding questions.
• Assisting with insurance denials for correction and re-filing.
• Making process improvement recommendations to management as identified, specifically related to registration and charge posting.
• Performing in compliance with federal, state, insurance industry regulations.
• Following established hospital policies concerning corporate compliance.
• Keeping abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities.

Benefits

• Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED