Coding Auditor and Trainer

HEALTHSOURCE OF OHIO • Loveland, OH

3d

About The Position

A day in the life of a Coding Auditor at HealthSource: Conduct regular coding audits for all HSO clinicians to verify that CPT, ICD-10, and HCPCS codes are assigned correctly and in compliance Detect coding discrepancies, documentation deficiencies, and billing errors Provide feedback and training to clinicians, coders, and clinical staff Assist in the preparation of reports and audits to demonstrate compliance and identify areas for financial improvement Support risk adjustment coding to ensure accurate documentation, appropriate reimbursement, and compliance with Medicare Advantage and other risk-based payment models. Lead coding and documentation training sessions as part of the onboarding process for new clinicians Regularly review and update coding education materials, presentations, and resources Maintain all audit reports and provide weekly updates to the billing and coding manager Regularly review CMS and OIG Work plan to identify areas of potential risk to HSO Identify gaps in documentation Assist with new coder training as needed

Requirements

• Strong knowledge of CPT, HCPCS, and ICD-10-CM guidelines required
• Current CPMA or CPC with audit experience required
• 1-2 years of experience required
• High School Diploma (or equivalent) and Specialized Training required

Responsibilities

• Conduct regular coding audits for all HSO clinicians to verify that CPT, ICD-10, and HCPCS codes are assigned correctly and in compliance
• Detect coding discrepancies, documentation deficiencies, and billing errors
• Provide feedback and training to clinicians, coders, and clinical staff
• Assist in the preparation of reports and audits to demonstrate compliance and identify areas for financial improvement
• Support risk adjustment coding to ensure accurate documentation, appropriate reimbursement, and compliance with Medicare Advantage and other risk-based payment models.
• Lead coding and documentation training sessions as part of the onboarding process for new clinicians
• Regularly review and update coding education materials, presentations, and resources
• Maintain all audit reports and provide weekly updates to the billing and coding manager
• Regularly review CMS and OIG Work plan to identify areas of potential risk to HSO
• Identify gaps in documentation
• Assist with new coder training as needed

Benefits

• Competitive pay with eligible incentive bonuses & yearly merit increases
• Structured schedules for work-life balance with Paid Time off & Long-Term Sick Bank hours
• Full Health Benefits Package, Courtesy Care Benefits & Health Savings Account funds
• Student Loan Forgiveness program & tuition reimbursement
• Employer contribution driven retirement plan
• Complimentary scrubs

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 251-500 employees