Coding Validation Auditor
CarolinaEast•New Bern, NC
•Remote
About The Position
The Coding Validation Auditor is responsible for performing quality reviews of medical records for coding and billing to ensure the clinical information within the medical record is accurate, complete, and compliant to support coding. Assists with evaluating and ensuring proper and complete authorization was obtained for procedures performed on the prior authorized date of service. This position is eligible for the remote coding program.
Requirements
- RHIA, RHIT, CCS, CCS-P, or CPC certification.
- Five or more years’ hospital coding and/or coding auditing experience for a healthcare entity.
- Maintain current level of understanding of ICD-10, CPT, and HCPCS coding.
- Maintain current knowledge of coding rules and guidelines, coding clinic, cpt assistant, and regulatory update.
- Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.
Responsibilities
- Performing quality reviews of medical records for coding and billing to ensure accuracy, completeness, and compliance.
- Validating coding accuracy, documentation support, CPT/HCPCS and ICD-10-CM code assignment, modifier usage, and compliance with applicable coding guidelines (for Surgical Coding Auditor).
- Auditing Evaluation and Management (E/M) services, with a strong understanding of E/M documentation requirements, code selection, medical necessity, and applicable coding guidelines (for E/M Coding Auditor).
- Evaluating and ensuring proper and complete authorization was obtained for procedures performed on the prior authorized date of service.
Benefits
- Robust benefits package for full-time employees.
- Benefits for part-time plus and part-time staff.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
