Coding Auditor I - Education Program

Baylor Scott & White Health - Dallas, TX

Full-time - Mid Level

Dallas, TX

Hospitals

About the position

The Coding Auditor 1 is responsible for conducting coding quality audits and providing feedback to coders to ensure accurate coding practices. This role requires proficiency in various coding systems, including ICD-10-CM/PCS and CPT, and involves collaboration with internal customers and Clinical Documentation Specialists to enhance documentation accuracy and compliance.

Responsibilities

• Perform routine coding quality reviews on all coders, including third-party suppliers as appropriate.
• Conduct coding quality reviews in collaboration with internal customers of the organization.
• Provide feedback based on findings from coding quality reviews.
• Abstract and validate required data elements into the coding and abstracting system.
• Work collaboratively with Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.
• Complete production coding when needed and assigned.

Requirements

• Must possess one of the following certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), or Certified Interventional Radiology Cardiovascular Coder (CIRCC).
• 5 years of coding experience, with at least 1 year as a coding auditor.
• Strong knowledge of applicable rules, regulations, policies, laws, and guidelines impacting the coding area.
• Strong knowledge of transaction code sets, HIPAA requirements, and issues impacting coding and abstracting functions.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Demonstrated competency in using computer applications and Correct Coding Initiatives (CCI) edits.
• Ability to interpret health record documentation for accurate code assignment.
• Strong interpersonal verbal and written communication skills.
• Flexibility and adaptability in balancing requirements and regulatory guidelines.

Benefits

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1