Certified Coder & Auditor - Coding Compliance Lead

Avita Health System; Crestline (OH); On-site; USD 65,000 - 85,000; Full time

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

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.