Clinical Coding Auditor
Core
Producing monthly data quality and targeted audit reports, delivering clinical coding audits, and leading clinical quality improvement initiatives.
Role type
Senior Clinical Coding Auditor / Consultant
Builds
CCA products, reports, dashboards, and service offerings
Domain
Healthcare / Clinical Data & Coding
Deliverable
dashboards & analysis
Required skills
Clinical coding audit, analytical reporting, SHMI optimization, casemix analysis, data quality improvement, clinician engagement, training and education, operational oversight, project management, client relationship management
Preferred skills
Technical architecture design, consulting methodologies, business development
Technologies
Elective Recovery, SHMI, HRG/Tariff optimization, CCA reports
Responsibilities
Delivering targeted reviews using analytical reporting, facilitating clinician engagement workshops, providing training on coding quality and data interpretation, managing clinical coding services and coder support, developing and maintaining CCA products and dashboards, leading clinical quality improvement initiatives
Seniority
Senior, hands-on IC with client-facing responsibilities