Coding Auditor

CommonSpirit Health • Seattle, WA

5d

About The Position

As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity. Every day, you will meticulously research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue. You will also proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts. To be successful in this role, you will combine a robust understanding of medical coding and reimbursement methodologies, exceptional analytical skills, and meticulous attention to detail. You will demonstrate a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency.

Requirements

• High school diploma or equivalent
• Minimum of one (1) year of coding experience or two (2) years experience in any capacity in a health care environment or medical office setting
• Requires one of the following coding certifications from either the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA): Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
• Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology
• Requires critical thinking and analytical skills, decisive judgment and the ability to work with minimal supervision
• Applicants must be able to work under pressure to meet imposed deadlines and take appropriate actions

Nice To Haves

• Associate degree in related field
• Healthcare revenue cycle experience preferred

Responsibilities

• Ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing.
• Optimizing our revenue cycle and maintaining financial integrity.
• Meticulously research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue.
• Proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees