Certified Coder and Auditor

Avita Health System

Crestline (OH)

On-site

USD 65,000 - 85,000

Full time

3 days ago

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Benefits offered by this job

Competitive wages

PTO

Health insurance

Dental insurance

Vision insurance

403(b) retirement plan with employer 4

Paid parental leave

Free on-site parking

Job summary

Avita Health System is seeking a Certified Coder & Auditor for the Crestline location to support the Patient Financial Services Department. The role focuses on auditing documentation for ICD-10, CPT, and HCPCS, educating providers, and ensuring compliance with coding guidelines and reimbursement requirements.

The candidate should have CPC/CCS-P, a minimum of 2 years in coding audits, and strong knowledge of HIPAA and related regulations; a professional certification is preferred.

Qualifications

High School graduate or equivalent.
Professional Coding Certification (CPC, CCS-P).
At least two (2) years of experience analyzing and providing feedback on physician documentation and performing coding audits.
Fully knowledgeable of regulatory compliance requirements, including HIPAA, Medicare rules, ABN rules, Red Flag Rules, and billing/coding rules.

Responsibilities

Lead orientation and ongoing education of coding staff, physicians, and APPs on coding guidelines.
Audit documentation and ensure accuracy; reeducate providers and staff as needed.
Serve as coding resource for providers and clinic managers; collaborate to overturn denials and prevent future ones.

Skills

Coding audits

Physician documentation analysis

HIPAA/compliance knowledge

Education

Health information management degree

Health administration degree

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Certified Coder and Auditor

Regular Full-Time 5 - Admin Support Crestline, OH, US

3 days ago Requisition ID: 12050

Join Our Team at Avita Health System – Avita Health System - Crestline

Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we’ve tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us.

We’re currently seeking a dedicated Certified Coder & Auditor to join our Patient Financial Services Department at our Crestline location.

Position Overview

Takes a guiding role in the orientation and ongoing education of professional coding team, physicians, and advanced practice providers (APPs) involved in the coding and documentation process. Ensures the accuracy of information in these processes is maintained by conducting audits and analyzing chart documentation and, if accuracy is not at the expected level, reeducates and trains providers and staff. Serves as knowledge source as it related to coding guidelines; CMS, federal, and state coding regulations; and third party reimbursement requirements.

Responsible for converting and auditing documentation of diagnosis, procedures, and utilized supplies and devices for assigned physicians and APPs using ICD-10, CPT, and HCPCS guidelines. Acts as a coding resource for assigned providers and clinic managers. Collaborates with the follow-up team to overturn denials and avoid future denials.

Qualifications

Required

High School graduate or equivalent.
Professional Coding Certification (CPC, CCS-P).
At least two (2) years of experience analyzing and providing feedback on physician documentation and performing coding audits.
Fully knowledgeable of, and conducts all activities in accordance with regulatory compliance requirements, including but not limited to HIPPA rules and regulations, Medicare Secondary Payer Screening requirements, medical necessary screening and ABN rules, Red Flag Rules, and billing and coding compliance rules and regulations.

Preferred Qualifications

Certified Professional Medical Auditor (CPMA) and Certified Risk Adjustment Coder certification.
Associate’s or bachelor’s degree in health administration, health information management, or related field or pursuit of an advances degree.
Previous billing experience and demonstrates knowledge of third party and self-pay billing procedures and claim review and analysis.

Why Join the Avita Health System Team?

At Avita, we’re committed to creating a supportive, inclusive, and empowering environment where every team member plays a vital role in delivering exceptional care to our communities. Whether you're on the front lines or behind the scenes, your work matters here.

What You Can Expect at Avita