Coding Auditor
About The Position
The Coding Auditor conducts coding audits to optimize diagnosis related groupings, develops and implements coding instruction classes, prepares coding guidelines, and implements coding changes. The role validates coding, provides ad-hoc education to coding staff, monitors and evaluates case mix index, and reviews potential reassignments. It requires effective communication with coders and CDI staff and current knowledge of Federal and State coding guidelines, coding policies, procedures, and agency literature. The position operates under general guidance with varied assignments that require interpretation and independent decisions. The employee receives general instructions for routine work and detailed instructions for new projects or assignments, understands departmental, divisional, and corporate strategy and operating objectives, and performs related duties as required. The responsibilities listed are considered essential functions under the Americans with Disabilities Act.
Requirements
- Bachelor's degree or an equivalent combination of education and related experience.
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
- 1–3 years of relevant experience.
Nice To Haves
- Experience with edits and denials.
- Experience in Neurology, Urology, ENT, Orthopedics, or Autoimmune specialties.
Responsibilities
- Conduct coding audits to optimize diagnosis related groupings.
- Develop and implement coding instruction classes.
- Prepare coding guidelines and implement coding changes.
- Validate coding and provide ad-hoc education to coding staff.
- Communicate effectively with coders and CDI staff.
- Maintain knowledge of coding policies, procedures, and current Federal and State coding guidelines, and stay up-to-date on agency literature.
- Monitor and evaluate case mix index.
- Review potential reassignments accurately and promptly.
- Communicate coding changes accurately and efficiently to staff.
- Interpret varied work assignments and independently determine a course of action.
- Understand department, division, and corporate strategy and operating objectives, including their impacts.
- Perform related duties as required.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
