Coding & Compliance Auditor

South Shore Health•Weymouth, MA

12h•$73,000 - $104,400

About The Position

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements.

Requirements

Associates or Bachelor’s degree in Health Information Management.
Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Assoc
Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Nice To Haves

Experience, preferred, in adult and continuing education, organizational development and training.

Responsibilities

Identifies staff and management training and education needs and makes recommendations for appropriate interventions.
Designs and develops training programs
Conducts and evaluates training programs
Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Attends continuing education activities to enhance professional development and to maintain proficiency in adult learning techniques and health care trends.
Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties are required.
Designs, develops and delivers education and training programs that meet the staff’s needs for professional and personal development.
Plans and develops curricula in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.
Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.