Coder Auditor-Professional

Sarah Bush Lincoln; Illinois; On-site; USD 33,000 - 51,000; Full time

Job summary

Sarah Bush Lincoln is seeking a dedicated Coder Auditor-Professional to audit coding assignments, train coding staff, and oversee pro-fee based coding including ICD-CM, CPT, HCPCS and E/M coding. You will collaborate with providers, coders, and medical staff to ensure accurate documentation and compliant coding practices.

The role emphasizes quality audits, education, and ongoing process improvements, with pay starting at $23.87 per hour. This is a full-time, on-site position located in Illinois.

Qualifications

• High school diploma required; CPC, CEMA within 6 months; CPMA within 1 year.
• Certification as CPC, CPMA, CEMA preferred or required within stated timelines.
• RHIT or RHIA certification preferred or required by listing.
• Experience auditing coding assignments and educating staff.

Responsibilities

• Assist coders with coding questions and collect audit results.
• Educate and train coding staff on processes and documentation.
• Code all encounters according to ICD-CM and CPT guidelines.
• Maintain data quality and support appropriate reimbursement.
• Review records to ensure accurate diagnoses and procedures.
• Contribute to EM code level selection audits and improvements.

Skills

Auditing

Medical coding

Staff training

Interpersonal communication

Education

High School Diploma

CPC Certification

CEMA Certification

CPMA Certification

RHIT/RHIA Certification

Job description

Coder Auditor-Professional

Job Description

Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Physician coding

Hours: Full-Time; 40 hours required

Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire

Pay: based on experience, starting at $23.87

At this time, we are only able to consider applicants who reside in the following states:

Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas

Responsibilities

• Assists coders with coding questions.
• Conducts the collection and
  reporting of provider and
  coder audit results and
  education. Works with coders
  and providers to ensure
  appropriate documentation for
  clinic services. Reports results
  to Coding Supervisor - Professional.
• Demonstrates ability to code all types of encounters.
• Meets quality standards of
  having 95% of diagnoses and
  procedures appropriately
  and/or correctly coded.
• Ensures data quality and
  optimum reimbursement
  allowable under the federal
  and state payment systems.
• Refers trend patterns of
  coding and documentation to
  Coding Supervisor –
  Professional.
• Responsible for coding quality
  audits for E/M Audit Program.
  Analyze and confirm assigned
  encounters for provider’s
  selection of EM code level utilizing EM code level
  selection auditing tool are accurate. Analyze and
  confirm assigned encounters for coder’s selection of diagnoses and procedures codes are accurate.
• Reviews record thoroughly to
  ascertain all
  diagnoses/procedures. Codes
  all diagnoses/procedures in
  accordance to ICD-CM and CPT coding principles, official
  guidelines and regulations.
• Trains new coding staff on
  coding systems and processes.

Requirements

• High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months of hire) - Sarah Bush Lincoln
• Certified Professional Coder - Sarah Bush Lincoln
• CPMA - Certified Professional Medical Auditor (within 1 year of hire) - Sarah Bush Lincoln
• Registered Health Information Technician (RHIT - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association

Compensation

Estimated Compensation Range

$23.87 - $37.00

Pay based on experience