Certified Coder/Audit Specialist

Summa Health; Cleveland (OH); Hybrid; USD 42,000 - 50,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

Paid time off

Life insurance

Retirement plan

Job summary

Summa Health Medical Group in Akron, OH is seeking a Certified Coder / Audit Specialist to audit medical records for compliance and coding accuracy. The role offers full-time daytime work with potential remote work after training and orientation.

Qualified candidates hold CCS/CCS-P/CMC/CPC/CPMA certifications and have at least two years of experience in a physician's office or hospital setting. Strong HIPAA and Medicare/Medicaid knowledge is required.

Qualifications

• Two years of work experience in a physician’s office or outpatient/inpatient setting performing documentation review per compliance and Medicare/Medicaid Standards.
• Familiar with diagnostic code sequencing and medical terminology.

Responsibilities

• Audits medical records per compliance measures for SPI Physicians and providers; prepares and distributes recommendations and reports detailing documentation issues.
• Provides education and training to providers and staff on coding practices.
• Serves as a resource on coding-related issues for SPI areas.

Skills

Documentation review

Medicare/Medicaid standards

Medical terminology

Education

CCS

CCS-P

CMC

CPC

CPMA

Job description

Certified Coder / Audit Specialist

Summa Health Medical Group

Akron, OH 44304

Full-Time Days

Will work remote after training and orientation

• Two (2) years of work experience in a physician’s office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology required.
• Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified ProfessionalMedical Auditor (CPMA) reqired.

Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary

Audits medical records per compliance measures for all SPI Physicians and providers; prepares and distributes recommendations and result findings including detailed reports of medical chart documentation issues. Provides education and training to providers and staff. Functions as a resource on coding related issues for SPI areas.

Formal Education Required

• Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified Professional

Medical Auditor (CPMA).

• Passing score of 70% or better on an outpatient/inpatient coding test administered by the Manager

Experience And Training Required

• Two (2) years of work experience in a physician’s office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology

Other Skills, Competencies And Qualifications

• Ability to understand and follow the all policies for Chart Reviews/Audits by Insurance Carriers, any government, state or local entity including HEDIS, CERT and RAC.
• Knowledge in compliance to all guidelines including Medicare and Medicaid Standards.
• Ability to review medical documentation written or within an EMR.
• Understands and can perform job duties with the utmost level of confidentiality.
• Understands and exhibits work practices to support HIPAA Regulations and abides by all measures of Compliance.
• Knowledge in HIM, traditional medical charts and record storage.

Equal Opportunity Employer/Veterans/Disabled

$30.31/hr - $36.37/hr

The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.

• Basic Life and Accidental Death & Dismemberment (AD&D)
• Supplemental Life and AD&D
• Dependent Life Insurance
• Short-Term and Long-Term Disability
• Accident Insurance, Hospital Indemnity, and Critical Illness
• Retirement Savings Plan
• Flexible Spending Accounts – Healthcare and Dependent Care
• Employee Assistance Program (EAP)
• Identity Theft Protection
• Pet Insurance
• Education Assistance
• Daily Pay