Coding Auditor

📋 Description

• You will act as a reliable resource by offering education, guidance, and feedback to providers and physicians to enhance compliance, coding precision, and effective documentation practices.

• Your responsibilities will encompass auditing outpatient records, assigning the correct ICD-10-CM and CPT-4 codes, and extracting essential data for audit evaluation, tracking, reporting, and reimbursement.

• Conducts audits and reviews documentation to ensure compliance with coding regulations.

• Offers educational opportunities for coders, practice managers, and providers within Logan Health.

• Oversees all internal and external audits for Logan Health.

• Aids in the creation and execution of an internal audit program that delivers feedback and education to Logan Health providers.

• Performs ad hoc coding audits as needed.

• Conducts audits for providers and follows up with meetings and support as required.

• Alerts leadership of coding mistakes in accordance with department procedures.

• Ensures accurate coding for claims as assigned.

⛳️ Requirements

• A minimum of 5 years of coding and billing experience.

• Current CPC or CCS coding certification.

• Certified Professional Medical Auditor (CPMA) certification must be obtained within one (1) year of employment.

• Proficient understanding of ICD-10-CM and CPT-4 coding guidelines and practices.

• Comprehensive knowledge of classification and nomenclature in anatomy.

• Familiarity with medical terminology.

• Knowledge of health information management procedures and practices.

• Exceptional organizational skills, attention to detail, self-motivated, possess critical thinking abilities, and capable of prioritizing tasks while functioning both independently and as part of a team.

• Commitment to working collaboratively in a team environment while maintaining confidentiality as required.

• Strong verbal and written communication skills, with the ability to engage effectively with diverse audiences.

• Excellent interpersonal abilities to manage sensitive and confidential situations with tact, professionalism, and diplomacy.

• Proficient in computer skills, including a working knowledge of the Microsoft Office Suite and the ability to learn additional software as necessary.

🏝️ Benefits

• Health, Dental, and Vision insurance.

• 401(k) with generous immediate matching.

• Employer-sponsored life insurance.

• Options for voluntary life and disability insurance.

• Critical Illness and Voluntary Accident insurance options.

• Employee Assistance Program (EAP).

• Flexible Spending Account (FSA) or Health Savings Account (HSA) options.

• Paid time off, holiday pay, and an illness bank.

• Employee referral program.

• Tuition Reimbursement Program.