Coding Auditor

Saint Francis Health System • Remote - OK, OK

2d • Remote

About The Position

The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits.

Requirements

• Minimum High School Diploma or GED.
• Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
• Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience.
• Computer skills, including use of Electronic Health Records, auditing, and coding software.
• Demonstrated ability to audit Current Procedural Terminology (CPT) and Interventional Classification of Diseases, Tenth Revision (ICD-10) coding related to charting and billing utilizing knowledge obtained by coursework with subsequent certification and/or sufficient specialized, related experience to demonstrate advanced knowledge of coding to perform audits.
• Effective interpersonal, oral and written communication skills.
• Ability to organize and prioritize work in an efficient and effective manner to achieve goals.
• Uses good judgment in determining documentation sufficiency and how to best educate physicians and other providers of opportunities for improvement.
• Demonstrated understanding of complexities of office workflow and billing requirements.
• Ability to be an engaged team member and to provide value added service to all.
• Demonstrates flexibility in accomplishing challenging assignments.

Nice To Haves

• Bachelor’s degree in Healthcare Administration or Business Administration, preferred.
• Hierarchical Condition Categories (HCC) experience, preferred.

Responsibilities

• Conducts coding audits of documentation of physicians and non-physician practitioners to assure compliance with documentation guidelines and the appropriate selection of CPT procedure codes and ICD-10 diagnosis codes.
• Communicates results of audit findings with manager, physicians, and medical director.
• Develops and delivers coding education specific to the needs of the requesting physicians and office staff.
• Collaborates to resolve patient complaints due to coding issues and in assurance of payment for services of denied services due to coding issues.
• Assists in review and analysis of documentation requests for audits performed by external regulatory bodies and insurance companies.

What This Job Offers

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