PB Coding Auditor Remote
About The Position
Looking for a rewarding place to work? Choose TidalHealth, which now includes three hospitals - TidalHealth Peninsula Regional in Salisbury, Maryland; TidalHealth Nanticoke in Seaford, Delaware; and Atlantic General Hospital in Berlin, Maryland. All three hospitals are "A" rated by Leapfrog Hospital Safety Guide, and the facilities have received numerous other honors. TidalHealth is regularly adding new practices to grow our offerings in specialty and subspecialty services. These include neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care, clinical trials and research, and more. TidalHealth is also home to a growing graduate medical education program to prepare the next generation of physician specialists. Located on the beautiful Delmarva Peninsula, close to the beach, becoming part of Team TidalHealth also offers an ideal opportunity for work-life balance. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally. The Coding Compliance Auditor conducts audits of provider documentation. The Auditor is responsible for data quality reviews on provider records to validate the Evaluation and Management (E/M) coding and surgical documentation for professional services. Audits provider records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting requirements. The Auditor identifies documentation trends and provides feedback and education to providers on coding guidelines and requirements.
Requirements
- High School Diploma or equivalent is required
- Certified Professional Coder (CPC) certification is required.
- At least five (5) years inpatient/outpatient coding experience serving in a data management, coding management, or coding auditing position
Nice To Haves
- Bachelor's Degree with a focus in Health Information Management is preferred
- Certified Professional Medical Auditor (CPMA) or Equivalent AHIMA certification (CCS, CCS-P) is preferred.
- Experience auditing E/M services, including inpatient, outpatient and office based encounters is preferred.
- Experience in developing and delivering audit findings, and performing provider education is preferred.
Responsibilities
- The Auditor is responsible for data quality reviews on provider records to validate the Evaluation and Management (E/M) coding and surgical documentation for professional services.
- Audits provider records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting requirements.
- The Auditor identifies documentation trends and provides feedback and education to providers on coding guidelines and requirements.
Benefits
- Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
