Coder Auditor-Professional

Fayette County Hospital; United States; On-site; USD 33,000 - 51,000; Full time

Job summary

Fayette County Hospital in the United States seeks a Coder Auditor-Professional to audit coding assignments, train coding staff, and ensure accurate E/M and procedure coding. You will interact with providers, coders, and departments to optimize documentation and reimbursement.

The role requires CPC, CEMA within 6 months, CPMA within 1 year, and RHIT/RHIA credentials. Hours are full-time, with pay starting at $23.87/hour and commensurate with experience.

Qualifications

• High School Diploma required.
• CPC certification required.
• CEMA within 6 months of hire.
• CPMA within 1 year of hire.
• RHIT or RHIA from AHIMA required or eligible.

Responsibilities

• Assists coders with coding questions.
• Conducts collection and reporting of audit results and education.
• Ensures documentation supports clinic services.
• Reports results to Coding Supervisor - Professional.
• Demonstrates ability to code all encounter types.
• Meets 95% accuracy in diagnoses/procedures coding.
• Ensures data quality and appropriate reimbursement.
• Refers trend patterns to Coding Supervisor - Professional.
• Performs quality audits for E/M Audit Program.
• Analyzes assigned encounters for EM code level accuracy.
• Analyzes and confirms diagnoses and procedures coded.
• Reviews records to ascertain all diagnoses/procedures.
• Codes diagnoses/procedures per ICD-CM and CPT guidelines.
• Trains new coding staff on systems and processes.

Skills

Auditing coding

Medical coding knowledge

Education

High School Diploma

CPC - Certified Professional Coder

CEMA - Certified Evaluation & Management Auditor

CPMA - Certified Professional Medical Auditor

RHIT or RHIA

Job description

Coder Auditor-Professional

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

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