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The Compliance Coding Auditor reviews and audits hospital claims to ensure compliant coding, identifying potential risks and opportunities for improvement. This role may also involve developing and delivering education, responding to denials, collaborating with the Clinical Documentation Improvement (CDI) team on specific scenarios, and contributing to initiatives focused on ensuring complete and accurate coding. The auditor is responsible for making independent decisions regarding accurate ICD-10-CM, ICD-10-PCS, and CPT/HCPCS code assignments, which directly impact CHS's reimbursement potential while adhering to compliant coding standards and corporate billing policies. This position applies only to facilities where Corporate Compliance does not provide audit support.
