Coding Auditor
About The Position
Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Audit specified number of records per coder as defined in the system coding audit plan. Prepare audit reports that are issued to key stakeholders, as appropriate. Develops corrective action plans to address opportunities for coding, billing and documentation improvement. Identifies trends and educational opportunities. Prepares and presents educational programs related to coding. Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.
Requirements
- High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required.
- 1 year of experience required.
Nice To Haves
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) preferred.
Responsibilities
- Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.
- Audit specified number of records per coder as defined in the system coding audit plan.
- Prepare audit reports that are issued to key stakeholders, as appropriate.
- Develops corrective action plans to address opportunities for coding, billing and documentation improvement.
- Identifies trends and educational opportunities. Prepares and presents educational programs related to coding.
- Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.
Benefits
- Paid time off (PTO)
- Various health insurance options & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
