Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Core
Performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy of medical record coding.
Role type
Coding Compliance Auditor
Builds
Coding audit reports, Excel spreadsheets, and data analytics regarding coding accuracy and denial rates.
Domain
Healthcare administration / Medical coding compliance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM coding, CPT/HCPCS coding, CMS regulations research, medical record abstraction, coding system navigation (Cerner, Epic, Athena IDX), performance monitoring
Preferred skills
Medical Terminology, Anatomy & Physiology, continuing education planning
Technologies
Cerner, MediTech, Epic, Athena IDX
Responsibilities
Perform monthly internal coding audits to evaluate staff accuracy; Develop monitoring and education plans for staff not meeting accuracy rates; Conduct in-services based on audit findings; Act as a resource for coding issues; Maintain expected productivity standards and manage coding queues
Seniority
Mid-level, individual contributor