Outpatient Coding Auditor (HIM) FT, Day shift

Valley Health System

66d • $33 - $41

About The Position

The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education.

Requirements

• High school diploma or equivalent required.
• Minimum of 5 years of experience in hospital auditing or education.
• ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required.
• Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits required.
• 3M Encoder experience, Meditech, EPIC, or CERNER preferred.
• CCS or COC, CPC, RHIT, RHIA certification required.
• Knowledge of ICD-10-CM, CPT-4 and HCPCs coding, Medical Terminology, Anatomy, and Physiology required.

Nice To Haves

• Experience with 3M Encoder, Meditech, EPIC, or CERNER.

Responsibilities

• Audit coded outpatient medical records for compliance with coding guidelines and regulations.
• Support coding accuracy and education through detailed review of encounters.
• Identify trends and variances in coding practices.
• Communicate findings with coding staff and leadership.
• Collaborate with external vendors to monitor performance.
• Incorporate industry best practices into audit feedback and education.

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D (Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits (e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays
• Paid Time Off (varies)
• Wellness Time Off
• Extended Illness Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED