Offer summary

Qualifications:

High school diploma or GED required., 5+ years of coding experience required., Proficient in ICD-10-CM/PCS coding standards., Certifications such as CPC, COC, CIC, CRC, CCS, RHIA, or RHIT are required. .

Key responsabilities:

Conduct detailed coding audits to assess coder accuracy.

Collaborate with coding leaders to implement corrective actions and provide training.

Track coding regulations at state and federal levels to ensure compliance.

Ensure coding practices align with third-party reimbursement guidelines.

Job description

Facility:

Work From Home - Ohio

Department:

Payer Enrollment Administration

Schedule:

Full time

Hours:

Job Details:

The Internal Coding Auditor plays a pivotal role in ensuring the proficiency and continuous development of all staff involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and reviews the findings to identify areas where coder accuracy falls below the established standards. This involves working with Coding leaders to advise on implementing corrective actions and providing targeted training to address any deficiencies. The role requires meticulous tracking of coding regulations at both the state and federal levels. The Internal Coding Auditor ensures that all coding practices within the organization comply with these regulations, thereby minimizing the risk of non-compliance. The Internal Coding Auditor must have a thorough understanding of third-party reimbursement guidelines. This knowledge is crucial for ensuring that the organization's coding practices align with the requirements of various insurance providers and other third-party payers.

Department Specific Job Details:

Shift

Monday-Friday
8am-4:30pm

Education

High school/GED required

Experience

5+ years of coding experience required
Proficient with IDC-10-CM/PCS required
Auditor experience preferred
Professional and facility coding experience preferred
Previous training experience preferred

Certifications

CPC, COC, CIC, CRC, CCS or CCS-P, RHIA, or RHIT certification is required
CPMA certification preferred

Skills/Competencies

Comprehensive knowledge of Official coding guidelines and CPT guidelines required
Experience with EPIC electronic health record system required
Knowledge of auditing concepts preferred

Education Requirements:

High School (Required)

Certification/License Requirements:

[Cert] CCS: Certified Coding Specialist - American Health Information Management Association, [Cert] CPC: Certified Professional Coder - American Academy of Professional Coders, RHIA - Registered health Information Administrator - American Health Information Management Association, RHIT - Registered health Information Technician - American Health Information Management Association

Required profile