Auditor Coding Specialist Remote

Trinity Health • Des Moines, IA

4d • Remote

About The Position

This is a Full-Time (80 hours biweekly) 100% Remote position requiring a Coding Certification and a minimum of two years of current experience in surgical coding. The role involves coding and abstracting patient records for professional billing, reviewing medical records for diagnosis and procedure coding, assisting billers with coding requests, and serving as a resource for complex coding questions and insurance denials. The specialist will also make process improvement recommendations, ensure compliance with regulations, and stay updated on insurance carrier rules. The position requires strong communication skills, the ability to work independently, and a working knowledge of computer information systems.

Requirements

• Coding Certification required
• Minimum of two years current experience in surgical coding
• 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.
• Knowledge of anatomy and physiology and medical terminology required.
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
• 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

Responsibilities

• Responsible for coding and abstracting patients’ records for professional billing.
• Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes.
• Interacts and assists with coding requests and questions from billers.
• Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing.
• Makes process improvement recommendations to management as identified, specifically related to registration and charge posting.
• Performs in compliance with federal, state, insurance industry regulations.
• Follows established hospital policies concerning corporate compliance.
• Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities.

What This Job Offers

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