Coding Auditor - Professional
Sarah Bush Lincoln•Mattoon, IL
•$24 - $37
About The Position
The Coding Auditor-Professional audits coding assignments with providers and coders and trains coding professional staff. The role covers professional-fee coding, including assigning ICD-CM, CPT, and HCPCS codes, E&M levels, modifiers, and charge posting. The position interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. It is in the Physician Coding department and requires 40 hours per week. Starting pay is based on experience, with a stated estimated compensation range of $23.87–$37.00 per hour.
Requirements
- High school diploma.
- Certified Professional Coder (CPC) certification.
- Certified Evaluation & Management Auditor (CEMA) certification within 6 months of hire.
- Certified Professional Medical Auditor (CPMA) certification within 1 year of hire.
Nice To Haves
- Registered Health Information Technician (RHIT) certification from the American Health Information Management Association, or Registered Health Information Administrator (RHIA) certification from the American Health Information Management Association.
Responsibilities
- Assist coders with coding questions.
- Collect and report provider and coder audit results and education.
- Work with coders and providers to ensure appropriate documentation for clinic services.
- Report results to the Coding Supervisor - Professional.
- Code all types of encounters.
- Meet the quality standard of having 95% of diagnoses and procedures appropriately and/or correctly coded.
- Ensure data quality and optimum reimbursement allowable under federal and state payment systems.
- Refer coding and documentation trend patterns to the Coding Supervisor – Professional.
- Conduct coding quality audits for the E/M Audit Program.
- Analyze and confirm the accuracy of providers’ EM code-level selections using the EM code-level selection auditing tool.
- Analyze and confirm the accuracy of coders’ diagnosis and procedure code selections.
- Review records thoroughly to identify all diagnoses and procedures.
- Code diagnoses and procedures according to ICD-CM and CPT coding principles, official guidelines, and regulations.
- Train new coding staff on coding systems and processes.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Education Level
High school or GED
