Medical Coding Auditor
About The Position
We are dedicated to providing exceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke’s mission and values. This position is 40hrs/week and 100% remote.
Requirements
- Associate degree in Health Services
- 5 years of production coding experience or 5 years coding auditing experience
- ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience
- Cerner and 3M/Solventum experience
- RHIA, RHIT, or CCS certification
Responsibilities
- Performs data quality reviews on patient records to validate coding appropriateness
- Identifies missed secondary diagnoses and procedures
- Ensures compliance with all coding related regulatory mandates and reporting requirements
- Monitors Medicare and other payer bulletins and manuals
- Reviews the current OIG Work Plans for coding risk areas
- Responsible for promoting teamwork with all members of the healthcare team
- Performs all duties in a manner consistent with St. Luke’s mission and values
Benefits
- Day one benefits package
- Pension Plan & 401K
- Competitive compensation
- FSA & HSA options
- PTO programs available
- Education Assistance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees
