Clinical Coding Compliance Auditor & Training Lead

WellSpan Health; Lewisburg (Union County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Retirement plan

PTO

Education assistance

DailyPay

Expanded Paid Parental Leave

Job summary

WellSpan Health is seeking a Clinical Documentation Auditor to perform audits, evaluations, and reviews ensuring compliance with applicable laws and regulations. The role involves preparing reports, presenting findings to management, and developing training programs for employees.

Key responsibilities include initiating corrective actions, monitoring implementation, and assisting with coding compliance across the organization.

Qualifications

• Associates Degree required with 3 years coding/auditing experience.
• Certification requirements preferred (CPC/ CCS) upon hire.
• Strong knowledge of ICD-9/ICD-10 and CPT coding guidelines.

Responsibilities

• Performs clinical documentation audits, evaluations and other reviews for compliance.
• Prepares and presents written and oral reports summarizing audit work, issues identified and recommendations to management.
• Develops and disseminates education and training programs to employees.
• Investigates and recommends action when compliance issues are found.
• Monitors implementation of corrective action and performs follow-up reviews.

Skills

Coding/Auditing experience

ICD-9/ICD-10 CPT coding principles

Written/oral communication

Computer skills

Teamwork

Education

Associates Degree

Job description

WellSpan Health is seeking a Clinical Documentation Auditor to perform audits, evaluations, and reviews ensuring compliance with applicable laws and regulations. The role involves preparing reports, presenting findings to management, and developing training programs for employees.

Key responsibilities include initiating corrective actions, monitoring implementation, and assisting with coding compliance across the organization.